person
Emily Diane Pruitt
Family Nurse Practitioner in Winnsboro, Louisiana
NPI 1760978449

Emily Diane Pruitt is a Family Nurse Practitioner based in Winnsboro, LA and is specialized in Family. Emily Diane Pruitt practices in Winnsboro, LA. The NPI Number for Emily Diane Pruitt is 1760978449 and holds a License No. AP10208 (Louisiana).

The current practice location address for Emily Diane Pruitt is 2106 Loop Rd, Winnsboro, LA and can be reached out via phone at 318-435-9411 and via fax at 318-435-9260.

Location: 2106 Loop Rd, Winnsboro, LA, 71295-3344
person
Provider Profile Details
NPI Number
1760978449
Provider Name
Emily Diane Pruitt
Credential
Provider Entity Type
Individual
Gender
Female
Address
2106 Loop Rd, Winnsboro, LA, 71295-3344
Phone Number
318-435-9411
Fax Number
318-435-9260
Provider Enumeration Date
07/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F07181660 01 CERTIFICATION
14296793 01 CAQH
2478486 05 LA
institution
Provider Business Practice Location Address Details
Address
2106 Loop Rd
City
State
Zip
71295-3344
Phone Number
318-435-9411
Fax Number
318-435-9260
person
Provider Business Mailing Address Details
Address
2106 Loop Rd
City
State
Zip
71295-3344
Phone Number
318-435-9411
Fax Number
318-435-9260
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP10208 (Louisiana)
Definition
Definition to come...
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