NPI 1629795703

Zaria Pruitt

Practitioner Peer Specialist Grayson, KY

Practice location

Address: 840 Interstate Dr, Grayson, KY 41143-1768
Phone: (606) 474-5151
Mailing address: PO Box 790, Ashland, KY 41105-0790

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1629795703
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Oct 2022
Record last updated: 20 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.