Regina D Pruitt in Bradenton - Physician Assistant
Regina D Pruitt - NPI 1295940914
Regina D Pruitt is a Physician Assistant in Bradenton, Florida. Regina D Pruitt practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Regina D Pruitt is 1295940914. The last update date is 2022-05-17.
Regina D Pruitt's current location address is 5717 21st Ave W, Bradenton, Florida. You can contact this provider via phone number 9417928383 and fax number 9417928484. The mailing address for Regina D Pruitt is 5717 21st Ave W, Bradenton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Regina D Pruitt |
|---|---|
| Address | 5717 21st Ave W, Bradenton, Florida |
| Phone Number | 9417928383 |
| Fax Number | 9417928484 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1295940914 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2022-05-17 |
Provider Mailing Address Detail
| Address | 5717 21st Ave W |
|---|---|
| City | Bradenton |
| State | Florida (FL) |
| Post Code | 34209 |
| Phone Number | 9417928383 |
| Fax Number | 9417928484 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA.493 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA575 | FL | HF MA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Regina D Pruitt by the Centers for Medicare & Medicaid Services?
The Regina D Pruitt has been issued the NPI (National Provider Identifier) 1295940914, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Regina D Pruitt located?
The Regina D Pruitt is located at 5717 21St Ave W, Bradenton, FL 34209.
What is Regina D Pruitt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Regina D Pruitt is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did the Regina D Pruitt receive its 1295940914?
The Regina D Pruitt was issued its 1295940914 on 2007-05-14, which is the date when the organization was assigned this unique identifier.
When was the information regarding Regina D Pruitt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Regina D Pruitt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-05-17.
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