Individual
MRS. KAITLIN LEIGH PRUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS, APRN, RN
Contact information
Practice address
288 JACKALBERRY ST, LAS VEGAS, NV 89138-6318
(916) 204-8428
Mailing address
288 JACKALBERRY ST, LAS VEGAS, NV 89138-6318
(916) 204-8428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041398838
IL
163W00000X
Registered Nurse
841778
CA
163W00000X
Registered Nurse
847635
NV
163W00000X
Registered Nurse
915210
TX
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
847635
NV
364SM0705X
Medical-Surgical Clinical Nurse Specialist
AP135010
TX
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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