Individual provider · Type 1 NPI
Gina Marie Prunty
Nurse Practitioner · Vienna, WV
Practice location
800 Grand Central Mall
Vienna, WV 26105-4100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 107648 (WV) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1205310240
Gina Marie Prunty's National Provider Identifier is 1205310240, issued on Sep 15, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Vienna, WV. The record was last updated on Jul 23, 2021.