Nicholas James Pruett, PA-C
NPI #1164737417 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1164737417
- Entity Type
- Individual
- Name
- Nicholas James Pruett, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 11, 2010
- Last Updated
- May 20, 2025
Practice Location
- Address
- 4801 W 81ST ST STE 112
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55437-1111
- Phone
- (952) 345-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Surgical — Surgical |
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