Search › Minnesota › 363A00000X
Nicholas Pruett, PA-C
NPI 1164737417 · on the registry since 2010
Practice
- Address
- 4801 W 81st St Ste 112
Bloomington, MN 55437 - Phone
- (952) 345-3000
- Fax
- (952) 345-6789
- Organisation at this address
- K Behavioral Health
Saunders Therapy Centers Inc
National Dizzy & Balance Center,Ltd.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 63
Additional practice sites
- 11850 Blackfoot St Nw Ste 490, Coon Rapids, MN
- 162 Cobblestone Ln, Burnsville, MN
- 1630 101st Ave Ne Ste 160, Blaine, MN
- 15700 37th Ave N Ste 150, Plymouth, MN
- 7650 Currell Blvd Ste 260, Woodbury, MN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota