Individual
SONIA J PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
813 W 2ND ST, BLOOMINGTON, IN 47403-2212
(812) 330-0303
(812) 330-0404
Mailing address
813 W 2ND ST, BLOOMINGTON, IN 47403-2212
(812) 330-0303
(812) 330-0404
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71010555A
IN
Other
Enumeration date
11/12/2020
Last updated
11/04/2025
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