Individual
PAMELA JO PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
910 FOX CHASE, ARNOLD, MO 63010-1364
(314) 971-6656
Mailing address
PO BOX 13, ARNOLD, MO 63010-0013
(314) 971-6656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
154028
TN
163W00000X
Registered Nurse
Primary
2001018541
MO
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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