Individual
TAREAI PRUITT-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
195 LITTLE ALBANY ST, NEW BRUNSWICK, NJ 08901-1914
(732) 235-9839
Mailing address
8 MARVIN AVE, SOMERSET, NJ 08873-2014
(732) 235-9839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO10645100
NJ
163WX0200X
Oncology Registered Nurse
Primary
26NJ00530900
NJ
Other
Enumeration date
03/05/2015
Last updated
07/23/2021
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