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

SHANIKA SHANTA PRUITT, FNP-BC

Active

SHANIKA SHANTA PRUITT, FNP-BC is a Family Nurse Practitioner healthcare provider located in SAINT LOUIS, Missouri. NPI 1659818904 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SAINT LOUIS, MO

Registration Details

NPI Number
1659818904
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2017 (9.5428889912799 yrs)
Last Updated
Dec 8, 2021
License
2017000938 (MO)

Practice Information

Address
1400 LEMAY FERRY RD
SAINT LOUIS, MO, 63125
Browse MO providers · Browse ZIP 63125
Phone
3148276868
Fax
3146274546
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in SAINT LOUIS, MO

Name Credential NPI
MS. GABRIELLE PAULETTE SATTERFIELD FNP BC 1093709982
MRS. JEANETTE RUTH MONTGOMERY C.N.P. 1811972060
MS. MISTY D VOGT FNP 1346226867
DR. PHILIP S DUDAK DC, FNP-C 1720067051
BRENDA F. RODI F.N.P. 1891769949
SASI VINJAMOORI APRN-BC, FNP 1801861497
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.