Individual
AMY PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 CHARLOTTE AVE, NASHVILLE, TN 37209-4129
(615) 340-5616
Mailing address
2500 CHARLOTTE AVE, NASHVILLE, TN 37209-4129
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
76381
TN
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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