Individual provider · Type 1 NPI
Gail Lynn Pruden, NNP
Critical Care Neonatal Nurse Practitioner · Salt Lake City, UT
NPI number
1184763203
Active
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
2549 Dolphin Way
Salt Lake City, UT 84121-5609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | 202594-4405 (UT) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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- Pamela Ann Misicka, RNC, MS, APRNCritical Care Neonatal Nurse Practitioner Salt Lake City, UT NPI 1316061583
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About NPI 1184763203
Gail Lynn Pruden, NNP's National Provider Identifier is 1184763203, issued on Feb 5, 2007. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.