Nathaniel Pruitt Valid NPI

Individual provider · Pediatric Nurse Practitioner · Dalton, GA

NPI

1134974538

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

GAA-NP004232 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2024-04-19

Last updated

2025-11-24