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Glenda Pruitt Pc
Family Nurse Practitioner in Strawn, Texas
NPI 1235296146

Glenda Pruitt Pc is a Family Nurse Practitioner based in Strawn, TX and is specialized in Family. Glenda Pruitt Pc practices in Strawn, TX. The NPI Number for Glenda Pruitt Pc is 1235296146 and holds a License No. 220196 (Texas).

The current practice location address for Glenda Pruitt Pc is 119 Central Ave., Strawn, TX and can be reached out via phone at 254-672-5200.

Location: 119 Central Ave., Strawn, TX, 76475-0006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235296146
Provider Name
Glenda Pruitt Pc
Credential
Provider Entity Type
Organization
Address
119 Central Ave., Strawn, TX, 76475-0006
Phone Number
254-672-5200
Fax Number
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1679686257 01 TX INDIVIDUAL NPI NUMBER
1676637 05 TX
institution
Provider Business Practice Location Address Details
Address
119 Central Ave.
City
Strawn
State
Texas
Zip
76475-0006
Phone Number
254-672-5200
Fax Number
person
Provider Business Mailing Address Details
Address
119 Central Ave.
City
Strawn
State
Texas
Zip
76475-0006
Phone Number
254-672-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
220196 (Texas)
Definition
Definition to come...
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