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NPI Code Detail

MEDICARE: AMY PRUETT RN

MEDICARE:   AMY  PRUETT  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
1163WW0101XAmbulatory Women's Health Care Registered NurseRN.0191451CO

General Provider Information

NPI Number : 1205766938
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY PRUETT RN
Provider Business Mailing Address
First Line : 1100 CENTRAL PARK DR
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-8818
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 CENTRAL PARK DR
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-8818
Country : US
Telephone Number : 970-879-3738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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Directions to “ AMY PRUETT RN” Practice Location

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