FNP Timothy O Pruett, NPI 1972645117
Nurse Practitioner in Springfield, MO, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1972645117
NPI Entity Type Individual
Provider Name FNP Timothy O Pruett
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1900 S National Ave, Suite 3600, Springfield, MO, US
Provider Mailing Address Po Box 2580, Springfield, MO, US, 658012580
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363L00000X

Taxonomy Name Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 112446
License State MO
Description (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Business Address

FNP Timothy O Pruett
1900 S National Ave
Suite 3600

Springfield, MO, US

Phone: 417-820-3911
Fax: 417-820-3924

Mailing Address

FNP Timothy O Pruett
Po Box 2580
Springfield, MO, US
ZIP 658012580
Phone: 417-829-4620
Fax: 417-829-4316

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
174073 MO MO BLUE SHIELD 01
428328702 MO MEDICAID 05
82543 AR ARK BLUE SHIELD 01

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NPI Name Taxonomy Address

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Organization

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Organization

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FNP-C Kyle Douglas Gronberg

Individual

Nurse Practitioner

3801 S National Ave Ste 900

Springfield, MO

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