Individual
DENA R PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
325 9TH AVE # 359798, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
325 9TH AVE # 359798, SEATTLE, WA 98104-2420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60053140
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60053140
WA
Other
Enumeration date
10/30/2008
Last updated
12/16/2021
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