Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew L Pruitt, PA

Individual provider Physician Assistant · NPI 1194707745

Andrew L Pruitt, PA is a Physician Assistant in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2005.

Licensed in
CO
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

311 Mapleton Ave
Boulder, CO 80304-3979
Phone: (303) 544-5700
Fax: (303) 544-5710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 178 (CO)

Record details

NPI number1194707745
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESJanuary 23, 2013

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