Individual provider · Type 1 NPI
Elizabeth Pruett
Family Nurse Practitioner · San Diego, CA
NPI number
1659100436
Active
Practice location
555 Washington St
San Diego, CA 92103-2289
Mailing address
4835 Niagara Ave Apt 5
San Diego, CA 92107-6108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95030919 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659100436
Elizabeth Pruett's National Provider Identifier is 1659100436, issued on Jul 30, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Jul 30, 2024.