Individual provider · Type 1 NPI
Charleen L. Pruett, ANP
Adult Health Nurse Practitioner · Clatskanie, OR
NPI number
1669453049
Active
Practice location
23606 Shepard Rd
Clatskanie, OR 97016-2331
Mailing address
PO Box 276, 23606 Sheperd Rd.
Clatskanie, OR 97016-0276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 90007050 (OR) |
| Adult Health Nurse Practitioner | 363LA2200X | AP30002308 (WA) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1669453049
Charleen L. Pruett, ANP's National Provider Identifier is 1669453049, issued on Nov 10, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Clatskanie, OR. The record was last updated on Jul 13, 2026.