Individual
MISS HARLIE RENEE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
51 E MARKET ST, CLOVERDALE, IN 46120-8427
(765) 798-4242
Mailing address
1660 S COUNTY ROAD 700 E, FILLMORE, IN 46128-9677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
09/24/2025
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