Individual provider · Type 1 NPI

Alicia C. Pruitt, RN DNP ENP

Family Nurse Practitioner · Albuquerque, NM

NPI number 1366436321 Active

Practice location

2901 Transport St SE
Albuquerque, NM 87106-4382

Mailing address

PO Box 26028
Albuquerque, NM 87125-6028

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XCNP-01843 (NM)
Family Nurse Practitioner Primary 363LF0000XCNP-01843 (NM)

Family Nurse Practitioner: Definition to come...

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About NPI 1366436321

Alicia C. Pruitt, RN DNP ENP's National Provider Identifier is 1366436321, issued on Sep 7, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Albuquerque, NM. The record was last updated on May 8, 2024.