Individual provider · Type 1 NPI

Shanika Shanta Pruitt, FNP-BC

Family Nurse Practitioner · St. Louis, MO

NPI number 1659818904 Active

Practice location

1400 Lemay Ferry Rd
St. Louis, MO 63125

Fax (314) 627-4546

Mailing address

225 Saint Louis Ave Unit 11169
St. Louis, MO 63135-2783

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2017000938 (MO)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

Other family nurse practitioner providers in St. Louis

See all in St. Louis →

About NPI 1659818904

Shanika Shanta Pruitt, FNP-BC's National Provider Identifier is 1659818904, issued on Jan 25, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 8, 2021.