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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN A PRU, CRNA

Active

JOHN A PRU, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in ALTA, Wyoming. NPI 1093771503 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · ALTA, WY

Registration Details

NPI Number
1093771503
Provider Type
Individual
Gender
Male
NPI Issued
Apr 24, 2006 (20.262542960655 yrs)
Last Updated
Jul 8, 2007
License
6780.0512 (WY)

Practice Information

Address
80 PERIMETER DRIVE
ALTA, WY, 83414
Browse WY providers · Browse ZIP 83414
Phone
3074213396
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.