Individual
MRS. MARY ANN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
833 BUFFALO ST STE 200, FARMVILLE, VA 23901-1111
(434) 392-8177
(434) 392-8287
Mailing address
833 BUFFALO ST STE 200, FARMVILLE, VA 23901-1111
(434) 392-8177
(434) 392-8287
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167714
VA
Other
Enumeration date
09/14/2010
Last updated
03/17/2020
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