| Doctor Name: | UNNEETHA PHILOMENA PRUITT |
| NPI Number: | 1730294174 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., N.P. |
| License Number: | RN402000 |
| Business Practice Address: | 4343 Yaqui Pass Rd. Borrego Springs, CA - 920042369 |
| Business Phone Number: | 7607675051 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2369, BORREGO SPRINGS |
| State: | CA |
| Postal Code: | 920042369 |
| Phone Number: | 7607675051 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 04/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | RN402000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |