Alyssa Pruett, is a
Registered Nurse based in Driggs, Idaho. Alyssa Pruett is licensed to practice in Idaho (license number 48880) and their current practice location is
120 E Howard St, Driggs, Idaho. This provider can be reached at their office (for appointments etc.) via phone at
(844) 617-7254.
NPI number for Alyssa Pruett is 1376454033 and their current mailing address is 120 E Howard St, Driggs, Idaho. This provider
does not participate in medicare program and thus does not accept medicare assignments. Their NPI Number is 1376454033.
Provider's Profile
| Full Name | Alyssa Pruett |
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| Gender | |
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| Speciality | Registered Nurse |
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| Location | 120 E Howard St, Driggs, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. This provider may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376454033
- Provider Enumeration Date: 09/14/2026
- Last Update Date: 09/14/2026
Medical Identifiers
Medical identifiers for Alyssa Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376454033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 48880 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyssa Pruett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Alyssa Pruett, 120 E Howard St, Driggs, ID 83422-5112 Ph: Not Available | Alyssa Pruett, 120 E Howard St, Driggs, ID 83422-5112 Ph: (844) 617-7254 |
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