Individual provider · Type 1 NPI

Nicholas James Pruett, PA-C

Physician Assistant · Bloomington, MN

NPI number 1164737417 Active

Practice location

4801 W 81st St Ste 112
Bloomington, MN 55437-1111

Call (952) 345-3000 Map

Fax (952) 345-6789

Other practice locations

  • 11850 Blackfoot St NW Ste 490, Coon Rapids, MN 55433-2773 · (763) 427-1137
  • 162 Cobblestone Ln, Burnsville, MN 55337-4578 · (952) 345-3000
  • 1630 101st Ave NE Ste 160, Blaine, MN 55449-3403 · (952) 345-3000
  • 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 · (651) 968-5201
  • 7650 Currell Blvd Ste 260, Woodbury, MN 55125-8209 · (952) 345-3000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10813 (MN)
Surgical Physician Assistant 363AS0400X10813 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1164737417

Nicholas James Pruett, PA-C's National Provider Identifier is 1164737417, issued on Aug 11, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bloomington, MN. The record was last updated on May 20, 2025.