Individual
MS. JULIE PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-8927
(414) 805-6815
Mailing address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-8927
(414) 805-6815
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
148831
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
148831
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039906261M
HUMANA
—
05
—
1174575864
—
WI
Enumeration date
05/17/2006
Last updated
10/01/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us