Individual provider · Type 1 NPI
Lisa Roschelle Pruitt, RN
Case Management Registered Nurse · Austin, TX
NPI number
1982496758
Active
Practice location
1210 W Braker Ln
Austin, TX 78758-3801
Fax (512) 978-8613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 703172 (TX) |
| Case Manager/Care Coordinator | 171M00000X | 703172 (TX) |
| Case Management Registered Nurse Primary | 163WC0400X | 703172 (TX) |
Case Management Registered Nurse: Definition to come...
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About NPI 1982496758
Lisa Roschelle Pruitt, RN's National Provider Identifier is 1982496758, issued on May 19, 2025. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Austin, TX. The record was last updated on Jun 13, 2025.