Individual
ROBERT ALAN PRUETT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 668-0033
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 668-0033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28264335C
IN
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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