Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APN F824 | SC |
NPI | 1013038298 |
---|---|
Provider Name | Dr. Rosanne Harkey Pruitt |
First Address | Anderson, SC 29621-1976 |
Second Address | Clemson, SC 29634-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 08/07/2007 |