SHANIKA SHANTA PRUITT

SAINT LOUIS, MO
NPI1659818904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2017000938)
Enumeration Date2017-01-25
Last Update Date2021-12-08
Business Address
SHANIKA SHANTA PRUITT FNP-BC
1400 LEMAY FERRY RD
SAINT LOUIS, MO 63125
Phone number: 314-827-6868
Mailing Address
SHANIKA SHANTA PRUITT FNP-BC
225 SAINT LOUIS AVE UNIT 11169
SAINT LOUIS, MO 63135-2783
Phone number: 314-827-6868
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