Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRNCNP019657 | OH |
N | 363LA2100X | Nurse Practitioner - Acute Care | APRNCNP019657 | OH |
NPI | 1013460195 |
---|---|
Provider Name | Brittany Elizabeth Pruitt |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210-1240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2016 |
Last Update Date | 29/12/2019 |