Individual
MARTA PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 BLYTHE BLVD STE 9669, CHARLOTTE, NC 28203-5812
(704) 355-2000
(704) 355-5948
Mailing address
1000 BLYTHE BLVD STE 9669, CHARLOTTE, NC 28203-5812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
PRUI-M6FIZ
NC
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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