Individual
DOUGLAS PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 742-9000
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28155497A
IN
367500000X
Certified Registered Nurse Anesthetist
28162626
IN
367500000X
Certified Registered Nurse Anesthetist
326345
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200047710
—
IN
Enumeration date
05/12/2006
Last updated
10/08/2025
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