Individual provider · Type 1 NPI

Laterica D. Pruitt, FNP

Family Nurse Practitioner · Fort Worth, TX

NPI number 1225618655 Active

Practice location

801 7th Ave
Fort Worth, TX 76104-2796

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP1054625 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1225618655

Laterica D. Pruitt, FNP's National Provider Identifier is 1225618655, issued on Apr 9, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 7, 2022.