Individual
SHANNON PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
9650 NALL AVE, OVERLAND PARK, KS 66207-2952
(913) 696-1127
Mailing address
9650 NALL AVE, OVERLAND PARK, KS 66207-2952
(913) 696-1127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-83534-031
KS
Other
Enumeration date
08/16/2023
Last updated
11/13/2024
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