Mr Demetrius Pruitt, APRN in Pearl Harbor, HI - Nurse Practitioner

Mr Demetrius Pruitt, APRN is a Nurse Practitioner - Family based in Pearl Harbor, Hawaii. Mr Demetrius Pruitt is licensed to practice in Florida (license number 9386840) and his current practice location is 480 Central Ave, Pearl Harbor, Hawaii. He can be reached at his office (for appointments etc.) via phone at (808) 477-2600.

NPI number for Mr Demetrius Pruitt is 1013404144 and his current mailing address is 480 Central Ave, Pearl Harbor, Hawaii. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013404144.

Contact Information

	Mr Demetrius Pruitt, APRN
	480 Central Ave, Pearl Harbor, HI 96860-4908
	(808) 477-2600
	Not Available

Provider's Profile

Full Name	Mr Demetrius Pruitt
Gender	Male
Speciality	Nurse Practitioner - Family
Location	480 Central Ave, Pearl Harbor, Hawaii
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1013404144
Provider Enumeration Date: 04/14/2018
Last Update Date: 10/12/2022

Medical Identifiers

Medical identifiers for Mr Demetrius Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013404144	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9386840 (Florida)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Demetrius Pruitt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Demetrius Pruitt, APRN 480 Central Ave, Pearl Harbor, HI 96860-4908 Ph: () -	Mr Demetrius Pruitt, APRN 480 Central Ave, Pearl Harbor, HI 96860-4908 Ph: (808) 477-2600

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Nurse Practitioner Nurses in Pearl Harbor, HI

Dr. Tatianna Ellsworth, DNP, FNP-BC, PNP-P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Pearl Harbor, HI 96860 Phone: 808-473-2285
Lydia Battey Haase, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Pearl Harbor, HI 96860 Phone: 808-474-4242
Louella Van Osdol, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Naval Health Clinic Hawaii, 480 Central Avenue, Pearl Harbor, HI 96860 Phone: 808-392-5772
Crystal Bryant, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Nhch Medical Staff Services Professional Division, Pearl Harbor, HI 96860 Phone: 808-471-1866
Lori Anne Dreater, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Pearl Harbor, HI 96860 Phone: 808-471-8956

Mr Demetrius Pruitt, APRN - Nurse Practitioner in Pearl Harbor, HI