Individual provider · Type 1 NPI

Shenise Lastine Pruitt

Contractor · Olivette, MO

NPI number 1477879351 Active

Practice location

9648 Olive Blvd
Olivette, MO 63132-3002

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

Another provider at this address

About NPI 1477879351

Shenise Lastine Pruitt's National Provider Identifier is 1477879351, issued on Apr 16, 2010. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Olivette, MO. The record was last updated on Apr 16, 2010.