Glenda Pruitt PC
Organization Active NPI Family Nurse Practitioner · Strawn, TX
NPI 1235296146 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1235296146
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 220196 (TX)
- Legal business name
- GLENDA PRUITT PC
- Practice address
- 119 Central Ave.
119 Central Ave.
Strawn, TX 76475-0006 - Phone
- (254) 672-5200
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Glenda F. Pruitt, RN CFNP
- Title
- Director
- Phone
- (254) 672-5200
Practitioners 3
-
Jerry Walter Morris, D.O.
-
Glenda Faye Pruitt, RN CFNP
-
Luis E Velez, M.D.
National Provider Directory
Locations
119 Central Ave
Strawn, TX 76475
Phone (254) 672-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 220196 | TX | Yes |
Addresses
Primary practice location
119 Central Ave.
119 Central Ave.
Strawn, TX 76475-0006
Mailing address
PO Box 6
119 Central Ave.
Strawn, TX 76475-0006
Phone (254) 672-5200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679686257 | Other | TX | INDIVIDUAL NPI NUMBER |
| 1676637 | Medicaid | TX |
Other names
- Strawn Clinic
Other providers in Strawn, TX
All providers in Strawn, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.