| Full Name | John A Pru |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 80 Perimeter Drive, Alta, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093771503 | NPI | - | NPPES |
| 016358 | Other | COUNCIL OF RECERT. ON NA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 6780.0512 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John A Pru, CRNA Po Box 563, Alta, WY 83414 Ph: (307) 421-3396 | John A Pru, CRNA 80 Perimeter Drive, Alta, WY 83414 Ph: (307) 421-3396 |
News Archive
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