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Stacie Leah Pruett, FNP
Family Nurse Practitioner in Peculiar, Missouri
NPI 1003546789

Stacie Leah Pruett is a Family Nurse Practitioner based in Peculiar, MO and is specialized in Family. Stacie Leah Pruett practices in Peculiar, MO and has the professional credentials of FNP. The NPI Number for Stacie Leah Pruett is 1003546789 and holds a License No. 2022021022 (Missouri).

The current practice location address for Stacie Leah Pruett is 24221 S Rockhaven Rd, Peculiar, MO and can be reached out via phone at 816-308-5877.

Location: 24221 S Rockhaven Rd, Peculiar, MO, 64078-9679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003546789
Provider Name
Stacie Leah Pruett
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
24221 S Rockhaven Rd, Peculiar, MO, 64078-9679
Phone Number
816-308-5877
Fax Number
Provider Enumeration Date
06/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24221 S Rockhaven Rd
City
Peculiar
State
Missouri
Zip
64078-9679
Phone Number
816-308-5877
Fax Number
person
Provider Business Mailing Address Details
Address
24221 S Rockhaven Rd
City
Peculiar
State
Missouri
Zip
64078-9679
Phone Number
816-308-5877
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2022021022 (Missouri)
Definition
Definition to come...
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