Individual provider · Type 1 NPI
Thavarat Pruitt
Psychiatric/Mental Health Registered Nurse · Anaheim, CA
NPI number
1497875827
Active
Practice location
5825 E Camino Manzano
Anaheim, CA 92807-3254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | RN499241 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
Other psychiatric/mental health registered nurse providers in Anaheim
About NPI 1497875827
Thavarat Pruitt's National Provider Identifier is 1497875827, issued on Mar 30, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Anaheim, CA. The record was last updated on May 6, 2009.