Pruett, Julie
Pruett, Julie is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Neoplastic Diseases, Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Pruett, Julie can be contacted via phone (414) 805-8927.Contact Information
Primary practice address
9200 W Wisconsin Ave Neoplastic Diseases
Milwaukee WI 53226-3522
Phone: (414) 805-8927
Fax: (414) 805-6815
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 148831 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 148831 | Wisconsin |
Profile Details
NPI number | 1174575864 |
---|---|
LBN Legal business name | Pruett, Julie |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2006 |
Last updated | Oct 1st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174575864 | NPPES |
Other | 039906261M | HUMANA | |
MEDICAID | 1174575864 | HUMANA |
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