Individual provider · Type 1 NPI
Frederick Pruitt
Primary Care Nurse Practitioner · Cleveland, OH
NPI number
1992164768
Active
Practice location
10701 East Blvd
Cleveland, OH 44106-1702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 18764NP (OH) |
| Family Nurse Practitioner | 363LF0000X | 18764NP (OH) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1992164768
Frederick Pruitt's National Provider Identifier is 1992164768, issued on Feb 22, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Cleveland, OH. The record was last updated on Aug 11, 2025.