| NPI | 1396620431 |
|---|---|
| Former Name | LYNDSEY BOLTON, PRUITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2025021307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-84547-051) |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |