Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHENISE LASTINE PRUITT
ActiveSHENISE LASTINE PRUITT is a Contractor healthcare provider located in OLIVETTE, Missouri. NPI 1477879351 is currently active in the NPPES registry. Verify at CMS.
Contractor · OLIVETTE, MO
Registration Details
- NPI Number
- 1477879351
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 16, 2010 (16.351432165945 yrs)
- Last Updated
- Apr 16, 2010
Practice Information
- Address
-
9648 OLIVE BLVDOLIVETTE, MO, 631323002Browse MO providers · Browse ZIP 63132
- Phone
- 3146419930
- Primary Specialty
-
Contractor
171W00000X
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.