Individual
MR. MICHAEL GEORGE PRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
25647 REDWOOD HWY, CAVE JUNCTION, OR 97523-9332
(541) 592-4111
(541) 592-3916
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1257
(541) 592-4111
(541) 592-3916
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201394159NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
ARNP 3366972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500676542
—
OR
01
—
ARNP 3366972
ARNP
FL
Enumeration date
03/07/2007
Last updated
11/18/2015
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