Individual
FRANCES KAY PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA8460583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5GR5-V62-CV40
PART A AND PART B MEDICARE
TX
Enumeration date
12/16/2018
Last updated
12/16/2018
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