Individual
PRESTON LOWELL PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3035
Mailing address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200625
OK
363LF0000X
Family Nurse Practitioner
Primary
200625
OK
Other
Enumeration date
02/09/2021
Last updated
07/31/2025
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