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NPI Code Detail

MEDICARE: ASHLEY PRUNTY BSN, RN

MEDICARE: ASHLEY PRUNTY BSN, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner35122TN
2363L00000XNurse Practitioner17997-33WI
3363LP0222XCritical Care Pediatric Nurse Practitioner35122TN
4163W00000XRegistered Nurse2016019346MO
5163W00000XRegistered Nurse1-172565AL

General Provider Information

NPI Number : 1295363174
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY PRUNTY BSN, RN
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 HIGHLAND AVE
Second Line :
City : MADISON
State : WI
Zip : 53792-0001
Country : US
Telephone Number : 608-915-0420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2020
Last Update Date : 04/06/2026

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