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Contact Information

ANNABETH PRUETT, PA-C, MBA
2400 N OCOEE ST
CLEVELAND, TN37311
 Phone: 423-460-9543
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANNABETH PRUETT · (Female)

NPI # 1033757554
Status Active
Credentials PA-C, MBA
Entity Individual
Enumeration date 12/16/2019
Last updated 02/29/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 50.007429RX
  • TN License # 4262
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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