Marie Antionette Pruitt- Garner, LPN is a
Licensed Vocational Nurse based in Garfield Heights, Ohio. Marie Antionette Pruitt- Garner is licensed to practice in Ohio (license number 185068) and her current practice location is
4607 E 104th St, Garfield Heights, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 854-2857.
NPI number for Marie Antionette Pruitt- Garner is 1588308068 and her current mailing address is 4607 E 104th St, Garfield Heights, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588308068.
Provider's Profile
| Full Name | Marie Antionette Pruitt- Garner |
|---|
| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 4607 E 104th St, Garfield Heights, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588308068
- Provider Enumeration Date: 04/21/2022
- Last Update Date: 04/21/2022
Medical Identifiers
Medical identifiers for Marie Antionette Pruitt- Garner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588308068 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 185068 (Ohio) | 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. Marie Antionette Pruitt- Garner 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 |
|---|
Marie Antionette Pruitt- Garner, LPN
4607 E 104th St,
Garfield Heights, OH 44125-1563
Ph: (216) 854-2857 | Marie Antionette Pruitt- Garner, LPN
4607 E 104th St,
Garfield Heights, OH 44125-1563
Ph: (216) 854-2857 |
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