Elizabeth Inez Pruitt in Tangier - Physician Assistant
Elizabeth Inez Pruitt - NPI 1184821696
Elizabeth Inez Pruitt is a Physician Assistant in Tangier, Virginia. Elizabeth Inez Pruitt practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Elizabeth Inez Pruitt is 1184821696. The last update date is 2014-02-18.
Elizabeth Inez Pruitt's current location address is 16186 Main Ridge Road, Tangier, Virginia. You can contact this provider via phone number 7578912412 and fax number 7578912493. The mailing address for Elizabeth Inez Pruitt is 16186 Main Ridge Road, Tangier, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Inez Pruitt |
|---|---|
| Address | 16186 Main Ridge Road, Tangier, Virginia |
| Phone Number | 7578912412 |
| Fax Number | 7578912493 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1184821696 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2014-02-18 |
Provider Mailing Address Detail
| Address | 16186 Main Ridge Road |
|---|---|
| City | Tangier |
| State | Virginia (VA) |
| Post Code | 23440 |
| Phone Number | 7578912412 |
| Fax Number | 7578912493 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 110002506 |
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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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What is the unique 10-digit identifier code issued to Elizabeth Inez Pruitt by the Centers for Medicare & Medicaid Services?
The Elizabeth Inez Pruitt has been assigned the NPI (National Provider Identifier) 1184821696 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Elizabeth Inez Pruitt?
The Elizabeth Inez Pruitt is situated at 16186 Main Ridge Road, in the city of Tangier, state of VA, with the zip code 23440.
What is the Elizabeth Inez Pruitt's area of specialization and corresponding taxonomy classification?
The Elizabeth Inez Pruitt's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184821696 to Elizabeth Inez Pruitt?
The Centers for Medicare & Medicaid Services originally issued the 1184821696 to Elizabeth Inez Pruitt on 2007-06-28.
As of what date was the information regarding Elizabeth Inez Pruitt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elizabeth Inez Pruitt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-02-18.
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