| Molly C Pruitt, FNP | |
|
12130 Hermesa Colina Ave, Las Vegas, NV 89138-1137 | |
| (612) 207-2801 | |
| Not Available |
| Full Name | Molly C Pruitt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12130 Hermesa Colina Ave, Las Vegas, Nevada |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912089905 | NPI | - | NPPES |
| 286995100 | Medicaid | MN | |
| B691 | Other | CHAMPUS | |
| 4306939 | Medicaid | MT | |
| 0598623 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 814191 (Nevada) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Molly C Pruitt, FNP 12130 Hermesa Colina Ave, Las Vegas, NV 89138-1137 Ph: (612) 207-2801 | Molly C Pruitt, FNP 12130 Hermesa Colina Ave, Las Vegas, NV 89138-1137 Ph: (612) 207-2801 |
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