Individual provider · Type 1 NPI

Erica Pruneau, FNP

Nurse Practitioner · Farmington, MO

NPI number 1558242537 Active

Practice location

534 Maple Valley Dr
Farmington, MO 63640-1981

Call (573) 760-8253 Map

Mailing address

PO Box 957683
St. Louis, MO 63195-7683

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	2025033363 (MO)

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 1558242537

Erica Pruneau, FNP's National Provider Identifier is 1558242537, issued on Sep 8, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Farmington, MO. The record was last updated on Oct 29, 2025.