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Molly C Pruitt, FNP
Family Nurse Practitioner in Carlsbad, California
NPI 1912089905

Molly C Pruitt is a Family Nurse Practitioner based in San Diego, CA and is specialized in Family. Molly C Pruitt practices in Carlsbad, CA and has the professional credentials of FNP. The NPI Number for Molly C Pruitt is 1912089905 and holds a License No. 20591 (California).

The current practice location address for Molly C Pruitt is 2176 Salk Ave, Carlsbad, CA and can be reached out via phone at 760-827-7530.

Location: 2176 Salk Ave, Carlsbad, CA, 92127-5705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912089905
Provider Name
Molly C Pruitt
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2176 Salk Ave, Carlsbad, CA, 92127-5705
Phone Number
760-827-7530
Fax Number
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
286995100 05 MN
B691 01 CHAMPUS
4306939 05 MT
0598623 05 IA
institution
Provider Business Practice Location Address Details
Address
2176 Salk Ave
City
Carlsbad
State
California
Zip
92008
Phone Number
760-827-7530
Fax Number
person
Provider Business Mailing Address Details
Address
2176 Salk Ave
City
Carlsbad
State
California
Zip
92008
Phone Number
760-827-7530
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
20591 (California)
Definition
Definition to come...
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