Individual
GABRIELLE PRUCHNO
Active
Individual
GABRIELLE PRUCHNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2014024678
MO
133V00000X
Registered Dietitian
Primary
DT83559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014024678
LICENSED DIETITIAN
MO
01
—
DT83559
LICENSED DIETITIAN
TX
Enumeration date
02/17/2015
Last updated
02/17/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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