Individual
PETER T PRUTCH
Active
Individual
PETER T PRUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
70254
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
1906
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15883825
—
CO
Enumeration date
05/31/2006
Last updated
06/04/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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