Individual
DR. ALICIA C PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN DNP ENP
Contact information
Practice address
2901 TRANSPORT ST SE, ALBUQUERQUE, NM 87106-4382
(505) 262-7110
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
CNP-01843
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP-01843
NM
Other
Enumeration date
09/07/2005
Last updated
05/08/2024
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