| Ms Charleen L Pruett, ANP | |
|
23606 Shepard Rd, Clatskanie, OR 97016-2331 | |
| (503) 728-4770 | |
| Not Available |
| Full Name | Ms Charleen L Pruett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 23606 Shepard Rd, Clatskanie, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669453049 | NPI | - | NPPES |
| 78969 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 90007050 (Oregon) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | AP30002308 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Charleen L Pruett, ANP Po Box 276, 23606 Sheperd Rd., Clatskanie, OR 97016-0276 Ph: (503) 728-4770 | Ms Charleen L Pruett, ANP 23606 Shepard Rd, Clatskanie, OR 97016-2331 Ph: (503) 728-4770 |
Mrs. Connie M. Davis, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 Sw Bel Air Drive, Clatskanie, OR 97016 Phone: 503-728-0424 | |
Kaelie Murray, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 401 Sw Belair Dr, Clatskanie, OR 97016 Phone: 503-728-5088 |