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

Daxten Pruter, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1053866541

Daxten Pruter, NURSEPRACTITIONER is a Registered Nurse in Kansas City, Missouri. Works from 2 locations. Licensed in Kansas and Oklahoma.

Licensed in
KS, OK
In the registry since
2016
Specialties on file
2

Practice location Address checks out

4251 Northern Ave
Kansas City, MO 64133-1593
Phone: (181) 686-1470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13 Hillcrest Dr, Ponca City, OK 74604-4808 — (580) 762-3456

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53-79163-032 (KS)
Registered Nurse Taxonomy 163W00000X · Licence 0121556 (OK)

Record details

NPI number1053866541
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 24, 2016
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

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