Individual provider · NPI-1

Brianne Marie Pruitt

Registered Nurse, Psych/Mental Health, Adult · Colton, CA

NPI number1023345469
StatusActive
Last updated in NPPESNov 5, 2009

Details

NPI
1023345469
Entity type
Individual (NPI-1)
Name
Brianne Marie Pruitt
Sex
Female
Sole proprietor
No
Enumeration date
Nov 5, 2009
Last updated
Nov 5, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult754789CAYes

Practice location

400 N Pepper Ave
Colton, CA 92324-1801

Phone 909-580-3144 · Fax 909-580-2165

Mailing address

400 N Pepper Ave
Colton, CA 92324-1801

Phone 909-580-3144 · Fax 909-580-2165

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Nurse, Psych/Mental Health, Adult providers in Colton, CA