Individual provider · Type 1 NPI

Lysiane Pruitt, FNP

Family Nurse Practitioner · Fayetteville, NC

NPI number 1164528030 Active

Practice location

2300 Ramsey St
Fayetteville, NC 28301-3856

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X122251 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1164528030

Lysiane Pruitt, FNP's National Provider Identifier is 1164528030, issued on Sep 16, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, NC. The record was last updated on Apr 8, 2017.