Individual
MR. WILLIAM EARL PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
8121 NATIONAL AVE STE 300, MIDWEST CITY, OK 73110-7571
(405) 608-3800
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209389
OK
363LG0600X
Gerontology Nurse Practitioner
209389
OK
Other
Enumeration date
08/01/2022
Last updated
09/01/2022
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