Individual provider · Type 1 NPI

Robert Alan Pruett Iii, AGACNP-BC

Nurse Practitioner · Fort Wayne, IN

NPI number 1295665453 Active

Practice location

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673

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Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	71018191A (IN)

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 1295665453

Robert Alan Pruett Iii, AGACNP-BC's National Provider Identifier is 1295665453, issued on May 20, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 24, 2026.