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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912741919

Derrick Wayne Pruitt, MEDICALSTUDENT is a Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Tulsa, OK

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1912741919
Entity typeIndividual (Type 1)
GenderMale
Credentials MEDICALSTUDENT
Sole proprietorYes
NPI enumeratedJune 24, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

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