Individual provider · Type 1 NPI

Stacie Leah Pruett, FNP

Family Nurse Practitioner · Peculiar, MO

NPI number 1003546789 Active

Practice location

24221 S Rockhaven Rd
Peculiar, MO 64078-9679

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2022021022 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1003546789

Stacie Leah Pruett, FNP's National Provider Identifier is 1003546789, issued on Jun 15, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peculiar, MO. The record was last updated on Jun 15, 2022.