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Individual

MS. JUDIE PRUETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
DEPARTMENT OF STATE, M-MED-QI 2401 E ST NW, WASHINGTON, DC 20522-0102
(202) 663-2453
(202) 663-1661
Mailing address
DEPARTMENT OF STATE, M-MED-QI 2401 E ST NW, WASHINGTON, DC 20522-0102

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
960965
DC
363LA2200X
Adult Health Nurse Practitioner
Primary
960965
DC
363LG0600X
Gerontology Nurse Practitioner
960965
DC

Other

Enumeration date
09/05/2006
Last updated
10/29/2007
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