Individual provider · Type 1 NPI
Mylissa Pruiett
Student in an Organized Health Care Education/Training Program · Silverlake, WA
NPI number
1255780243
Active
Practice location
4220 Spirit Lake Hwy
Silverlake, WA 98645-9796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | PRUIEMA043CP (WA) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Another provider at this address
Other student in an organized health care education/training program providers in Silverlake
About NPI 1255780243
Mylissa Pruiett's National Provider Identifier is 1255780243, issued on Jun 9, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Silverlake, WA. The record was last updated on Jun 9, 2016.