Pruitt, Molly C

Pruitt, Molly C is an individual health care provider with primary practice located at 2176 Salk Ave , Carlsbad CA 92008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pruitt, Molly C can be contacted via phone (760) 827-7530.

Contact Information

Primary practice address
2176 Salk Ave Carlsbad CA 92008
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20591 California

Profile Details

NPI number 1912089905
LBN Legal business name Pruitt, Molly C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated May 24th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912089905 NPPES
Minnesota MEDICAID 286995100
Minnesota Other B691
Minnesota MEDICAID 4306939
Minnesota MEDICAID 0598623

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