Individual provider · Type 1 NPI
Dewayne Pruitt, RN, BSN
Home Health Registered Nurse · Aliceville, AL
NPI number
1104571090
Active
Practice location
2153 Jenkins Road
Aliceville, AL 35442
Fax (205) 367-1619
Mailing address
2111 Jenkins Rd
Aliceville, AL 35442-4931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 1-121419 (AL) |
Home Health Registered Nurse: Definition to come...
About NPI 1104571090
Dewayne Pruitt, RN, BSN's National Provider Identifier is 1104571090, issued on Feb 18, 2022. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Aliceville, AL. The record was last updated on Jul 21, 2022.