NICHOLAS PRUETT, PA-C

Physician Assistant

Active Individual
NPI: 1164737417

Practice Address

4801 W 81ST ST STE 112
Bloomington, MN 55437

Phone: (952) 345-3000

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 10813 (MN)
Physician Assistant - Surgical 363AS0400X No 10813 (MN)

Frequently Asked Questions

NPI 1164737417 is the National Provider Identifier for NICHOLAS PRUETT, PA-C, a Physician Assistant provider located in Bloomington, MN. This NPI was enumerated on August 11, 2010.
NICHOLAS PRUETT, PA-C practices at 4801 W 81ST ST STE 112, Bloomington, MN 55437.

Quick Facts

NPI
1164737417
Type
Individual
Enumerated
Aug 11, 2010
Last Updated
May 20, 2025

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