Individual provider · Type 1 NPI
Trent Pruitt
Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ
NPI number
1427974443
Active
Practice location
8348 E Idaho Ave
Mesa, AZ 85209-1616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 276488 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1427974443
Trent Pruitt's National Provider Identifier is 1427974443, issued on Jun 24, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mesa, AZ. The record was last updated on Jun 24, 2026.