Individual
NANCY B. PRUNTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2502 N DODGE BLVD, TUCSON, AZ 85716-2671
(520) 618-8747
(520) 882-5676
Mailing address
9085 E BELLEVUE ST, TUCSON, AZ 85715-5602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN048305
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825440
—
AZ
Enumeration date
10/17/2006
Last updated
07/09/2007
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