ANDREW L PRUITT P.A.
NPI 1194707745
Physician Assistant in Boulder, CO

Q: What is Andrew Pruitt's NPI number?

The NPI number for Andrew Pruitt is 1194707745. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Q: What is Andrew Pruitt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Pruitt was last updated on January 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 18, 2005

311 MAPLETON AVE, BOULDER, CO 80304(303) 544-5700(303) 544-5710 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Andrew L Pruitt P.a. NPPES

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

ANDREW L PRUITT P.A. (NPI 1194707745) is an individual physician assistant in Boulder, Colorado, licensed in Colorado (178) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1194707745

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameANDREW L PRUITTCredential: P.A.

Location Address311 MAPLETON AVEBoulder, CO 80304-3979

Mailing Address345 Maxwell AveBoulder, CO 80304-3972 · (303) 544-5783 · Fax (303) 441-2388

Phone(303) 544-5700

Fax(303) 544-5710

Sole ProprietorNo

Enumeration DateNovember 18, 2005

Last NPPES UpdateJanuary 23, 2013

✔ NPI 1194707745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CO · 178

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

311 MAPLETON AVE, Boulder, CO 80304

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