Provider Demographics
NPI:1528478088
Name:PRUETT, NADIA HAMDANI (RN, MSN, FNP)
Entity type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:HAMDANI
Last Name:PRUETT
Suffix:
Gender:F
Credentials:RN, MSN, FNP
Other - Prefix:MS
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:HAMDANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN, FNP
Mailing Address - Street 1:2450 HOLCOMBE BLVD STE NB-34L
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-2039
Mailing Address - Country:US
Mailing Address - Phone:832-828-3660
Mailing Address - Fax:
Practice Address - Street 1:2450 HOLCOMBE BLVD STE NB-34L
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-2039
Practice Address - Country:US
Practice Address - Phone:832-828-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX739131163W00000X
TXAP125187363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse