Individual
DR. ANDRA L PRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8905 W POST RD STE 110, LAS VEGAS, NV 89148-2429
(702) 660-2024
(701) 203-9648
Mailing address
11700 W CHARLESTON BLVD # 170-597, LAS VEGAS, NV 89135-1573
(702) 660-2024
(701) 203-9648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1123
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS11196
PHARMACY/CDS
NV
Enumeration date
01/04/2006
Last updated
09/16/2025
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