Individual provider · Type 1 NPI

Michelle Pruett, NP

Critical Care Pediatric Nurse Practitioner · San Diego, CA

NPI number 1144092511 Active

Practice location

3020 Childrens Way
San Diego, CA 92123-4223

Mailing address

4852 Mount Alifan Dr
San Diego, CA 92111-2510

Other practice locations

  • 1200 N Beaver St, Flagstaff, AZ 86001-3118 · (928) 773-2112

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X95027814 (CA)
Critical Care Pediatric Nurse Practitioner 363LP0222X330052 (AZ)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1144092511

Michelle Pruett, NP's National Provider Identifier is 1144092511, issued on Oct 27, 2023. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in San Diego, CA. The record was last updated on Jul 14, 2026.