Search › Missouri › 363L00000X
Timothy Pruett, FNP
NPI 1972645117 · on the registry since 2007
Practice
- Address
- 1900 S National Ave
Suite 3600
Springfield, MO 65804 - Phone
- (417) 820-3911
- Fax
- (417) 820-3924
- Organisation at this address
- St Johns Clinic Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-14
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 Missouri