Individual provider · Type 1 NPI
Deborah A. Pruim, APN
Gerontology Registered Nurse · Crestwood, IL
NPI number
1730470717
Active
Practice location
13655 Laramie Ave
Crestwood, IL 60445-1566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse Primary | 163WG0600X | 209.006225 (IL) |
Gerontology Registered Nurse: Definition to come...
About NPI 1730470717
Deborah A. Pruim, APN's National Provider Identifier is 1730470717, issued on Apr 26, 2011. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Crestwood, IL. The record was last updated on Apr 4, 2016.