| Mr William Earl Pruitt, APRN-CNP | |
| 
					8121 National Ave Ste 300, Midwest City, OK 73110-7571  | |
| (405) 608-3800 | |
| Not Available | 
| Full Name | Mr William Earl Pruitt | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Acute Care | 
| Location | 8121 National Ave Ste 300, Midwest City, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811624810 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 209389 (Oklahoma) | Secondary | 
| 363LA2100X | Nurse Practitioner - Acute Care | 209389 (Oklahoma) | Primary | 
| Entity Name | Integris Ambulatory Care Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354  | 
| Entity Name | Ohh Physicians Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023087772 PECOS PAC ID: 1759392079 Enrollment ID: O20060525000059  | 
| Entity Name | Oklahoma Hospital Medicine Physicians Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871113761 PECOS PAC ID: 9830510023 Enrollment ID: O20200526000785  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr William Earl Pruitt, APRN-CNP 7800 Nw 85th Ter, Oklahoma City, OK 73132-3385 Ph: () -  | Mr William Earl Pruitt, APRN-CNP 8121 National Ave Ste 300, Midwest City, OK 73110-7571 Ph: (405) 608-3800  | 
Mrs. Venetta Ann Girardi, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 S Douglas Blvd, Midwest City, OK 73130 Phone: 405-733-4985  | |
Mrs. Heather D Stanley, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 S Douglas Blvd, Ste 108, Midwest City, OK 73130 Phone: 405-737-3278 Fax: 405-737-0240  | |
Calli Beth Ann Landes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-8993 Fax: 405-610-8127  | |
Ms. Kandy Brown, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9230 E Reno Ave Ste B, Midwest City, OK 73130 Phone: 405-737-4900 Fax: 405-737-3606  | |
Mrs. Robin N Avery, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 S Douglas Blvd, Midwest City, OK 73130 Phone: 405-732-7119 Fax: 405-732-7120  | |
Ms. Porsha Lynn Richardson, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1117 S Douglas Blvd Ste B, Midwest City, OK 73130 Phone: 405-208-4573 Fax: 405-429-4083  | |
Miss Nancy Kienka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 S Douglas Blvd, Midwest City, OK 73130 Phone: 405-737-3278 Fax: 405-737-0240  |