IndividualActive
Shenise Pruitt
NPI 1477879351 · Contractor · Olivette, MO
Provider details
- NPI number
- 1477879351
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
9648 Olive Blvd
Olivette, MO 63132-3002
Phone: (314) 641-9930
Approximate (ZIP-level) locationGet directions
Mailing address
9648 Olive Blvd
Olivette, MO 63132-3002
Registry dates
- Enumerated
- 2010-04-16
- Last updated
- 2010-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.