EMILEE ANN PRUITT RN, RCSN
NPI 1760295679
Registered Nurse - School in Portola, CA
Active since January 27, 2025
About Emilee Ann Pruitt Rn, Rcsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILEE ANN PRUITT RN, RCSN (NPI 1760295679) is an individual school provider in Portola, California, licensed in California (95090488) and active in the NPI registry since January 2025. She maintains 2 additional practice locations.
NPPES Registry Identity
NPI1760295679
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameEMILEE ANN PRUITTCredential: RN, RCSN
Location Address895 WEST STPortola, CA 96122-6502
Mailing Address895 West StPortola, CA 96122-6502 · (530) 832-0211 · Fax (530) 832-0667
Phone(530) 832-0211
Sole ProprietorYes
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1760295679 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in CA · 95090488
895 WEST ST, Portola, CA 96122
Other Names 1
Former Name (1)Emilee Ann Williamson
Secondary Practice Locations 2
Location 150 Church StQuincy, CA 95971-9451 · Phone (530) 283-6500 ext. 4135
Location 2155 6th AvePortola, CA 96122-9543 · Phone (530) 832-4284 ext. 4413 · Fax (530) 832-5582
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760295679, enumerated as an "individual" on January 27, 2025.
The provider is located at 895 WEST ST PORTOLA, CA 96122 and the phone number is (530) 832-0211.
Registered Nurse with taxonomy code 163WS0200X and a focus in School.
