KALEIGH PRUETT APRN FNP-C NPI 1104410703

NPI Information

NPI: 1104410703
Provider Name: KALEIGH PRUETT, APRN, FNP-C
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
3540 STATE HIGHWAY 16 S STE 1D
BANDERA, TX
ZIP 78003
Phone: (830) 522-2002
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Kaleigh Pruett, APRN, FNP-C is a primary care nurse practitioner in Bandera, TX with 4 years of experience. Kaleigh Pruett, APRN, FNP-C NPI is 1104410703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3540 STATE HIGHWAY 16 S STE 1D
BANDERA, TX
ZIP 78003-560
Phone: (830) 522-2002
Fax: (830) 258-6243

The NPI 1104410703 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/24/2021 and was last updated on 4/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	1027097	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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