Timothy O Pruett is a Nurse Practitioner in , . Timothy O Pruett practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Timothy O Pruett is 1972645117. The last update date is 2008-07-14.
Timothy O Pruett's current location address is , , . You can contact this provider via phone number . The mailing address for Timothy O Pruett is , , . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy O Pruett |
|---|---|
| Address | , , |
| Phone Number | |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1972645117 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2008-07-14 |
Provider Mailing Address Detail
| Address | |
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| City | |
| State | () |
| Post Code | |
| Phone Number | |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 112446 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 174073 | MO | MO BLUE SHIELD | |
| 428328702 | MO | -- | |
| 82543 | AR | ARK BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Timothy O Pruett by the Centers for Medicare & Medicaid Services?
The Timothy O Pruett has been assigned the NPI (National Provider Identifier) 1972645117 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Timothy O Pruett's facilities are geographically located?
The facilities of Timothy O Pruett are physically situated at the following location: , , , .
What is Timothy O Pruett's area of expertise and its corresponding taxonomy classification?
The Timothy O Pruett's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Timothy O Pruett receive its 1972645117 assignment from the Centers for Medicare & Medicaid Services?
The Timothy O Pruett was assigned its 1972645117 by the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date was the information regarding Timothy O Pruett, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Timothy O Pruett, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-14.
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