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MR. DEMETRIUS PRUITT APRN
NPI 1013404144
Nurse Practitioner - Family in Pearl Harbor, HI

Active since April 14, 2018
480 CENTRAL AVE, PEARL HARBOR, HI 96860(808) 477-2600 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2022, Apr 14, 2018 (2 updates tracked since 2018).

About Mr. Demetrius Pruitt Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DEMETRIUS PRUITT APRN (NPI 1013404144) is an individual family provider in Pearl Harbor, Hawaii, licensed in Florida (9386840) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1013404144
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DEMETRIUS PRUITTCredential: APRN
Location Address480 CENTRAL AVEPearl Harbor, HI 96860-4908
Mailing Address480 Central AvePearl Harbor, HI 96860-4908
Phone(808) 477-2600
Sole ProprietorNo
Enumeration DateApril 14, 2018
Last NPPES UpdateOctober 12, 20222 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1013404144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 9386840
480 CENTRAL AVE, Pearl Harbor, HI 96860
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN KNOREK PH.D.
Psychologist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4242
MR. DENNIS T SEKINE MS, MPH, CCC-A
Audiologist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-0628
MR. KEVIN THOMAS COHN HM2/P.T. TEHCNICIAN
Technician
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 257-8708
CHRISTOPHER G PELLEJERA O.D.
Optometrist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4248
TAYLOR ANNE STUBBLEFIELD IDC
Military Health Care Provider (Independent Duty Corpsman)
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (951) 442-2444
BENJAMIN CLARKSON JAMES DPT
Physical Therapist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4242
MR. JUDE COLEMAN PHARMACIST
Pharmacist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 473-1880
PATRICIA MARY BURNS RN
Registered Nurse
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-0625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetrius Pruitt's NPI number?

The NPI number for Demetrius Pruitt is 1013404144. It was assigned to this individual provider in the NPPES registry on April 14, 2018.

Where is Demetrius Pruitt located?

Demetrius Pruitt practices at 480 Central Ave, Pearl Harbor, HI 96860. The listed phone number is (808) 477-2600.

What is Demetrius Pruitt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Demetrius Pruitt was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.