MYLISSA PRUIETT
NPI 1255780243
Student in an Organized Health Care Education/Training Program in Silverlake, WA

Q: What is Mylissa Pruiett's NPI number?

The NPI number for Mylissa Pruiett is 1255780243. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Q: What is Mylissa Pruiett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mylissa Pruiett was last updated on June 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 09, 2016

4220 SPIRIT LAKE HWY, SILVERLAKE, WA 98645(360) 353-8187 Get Directions Write a Review

NPPES record last updated: June 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mylissa Pruiett NPPES

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

MYLISSA PRUIETT (NPI 1255780243) is an individual student in an organized health care education/training program in Silverlake, Washington, licensed in Washington (PRUIEMA043CP) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1255780243

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMYLISSA PRUIETT

Location Address4220 SPIRIT LAKE HWYSilverlake, WA 98645-9796

Mailing Address4220 Spirit Lake HwySilverlake, WA 98645-9796 · (360) 353-8187

Phone(360) 353-8187

Sole ProprietorNo

Enumeration DateJune 9, 2016

✔ NPI 1255780243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in WA · PRUIEMA043CP

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4220 SPIRIT LAKE HWY, Silverlake, WA 98645

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Other Providers at the Same Location NPPES

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

CHEYANNE BOWLING

Student in an Organized Health Care Education/Training Program

4220 SPIRIT LAKE HWY
SILVERLAKE, WA 98645

Cowlitz County (360) 624-5363

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 Mylissa Pruiett's NPI number?

The NPI number for Mylissa Pruiett is 1255780243. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Mylissa Pruiett located?

Mylissa Pruiett practices at 4220 Spirit Lake Hwy, Silverlake, WA 98645. The listed phone number is (360) 353-8187.

What is Mylissa Pruiett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mylissa Pruiett was last updated on June 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.