Individual provider · Type 1 NPI
Kelly D. Pruett, APN
Nurse Practitioner · Bemidji, MN
Practice location
1300 Anne St NW
Bemidji, MN 56601-5103
Fax (605) 328-6512
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 7888 (MN) |
| Nurse Practitioner | 363L00000X | A003595 (AR) |
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 1336217900
Kelly D. Pruett, APN's National Provider Identifier is 1336217900, issued on Dec 1, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bemidji, MN. The record was last updated on Jan 22, 2021.