John A Pru, CRNA is a
Nurse Anesthetist, Certified Registered based in Alta, Wyoming. John A Pru is licensed to practice in Wyoming (license number 6780.0512) and his current practice location is
80 Perimeter Drive, Alta, Wyoming. He can be reached at his office (for appointments etc.) via phone at
(307) 421-3396.
NPI number for John A Pru is 1093771503 and his current mailing address is Po Box 563, Alta, Wyoming. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093771503.
Provider's Profile
| Full Name | John A Pru |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 80 Perimeter Drive, Alta, Wyoming |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093771503
- Provider Enumeration Date: 04/24/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for John A Pru such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093771503 | NPI | - | NPPES |
| 016358 | Other | | COUNCIL OF RECERT. ON NA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 6780.0512 (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John A Pru is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John A Pru, CRNA
Po Box 563,
Alta, WY 83414
Ph: (307) 421-3396 | John A Pru, CRNA
80 Perimeter Drive,
Alta, WY 83414
Ph: (307) 421-3396 |
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