Individual
SEAN PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5955 ZEAMER AVE, ELMENDORF AFB, AK 99506-3702
(907) 580-5630
Mailing address
5955 ZEAMER AVE, ELMENDORF AFB, AK 99506-3702
(907) 580-5630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
225541
AK
Other
Enumeration date
07/11/2024
Last updated
10/15/2024
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