| Ashton Marie Pruett, ARNP | |
|
1614 Diamond Street Pl, Onawa, IA 51040 | |
| (712) 423-1525 | |
| (712) 423-2528 |
| Full Name | Ashton Marie Pruett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1614 Diamond Street Pl, Onawa, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851889117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A132901 (Iowa) | Primary |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Entity Name | Burgess Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538234232 PECOS PAC ID: 0143131516 Enrollment ID: O20031219000549 |
| Entity Name | Family Medicine Clinic, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386824787 PECOS PAC ID: 0547159824 Enrollment ID: O20040313000752 |
| Entity Name | Burgess Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730253360 PECOS PAC ID: 0143131516 Enrollment ID: O20061104000266 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashton Marie Pruett, ARNP 1614 Diamond Street Pl, Onawa, IA 51040-1554 Ph: (712) 423-1525 | Ashton Marie Pruett, ARNP 1614 Diamond Street Pl, Onawa, IA 51040 Ph: (712) 423-1525 |
Jessica Lynn Renz, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1614 Diamond Street Pl, Onawa, IA 51040 Phone: 712-423-1525 |