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

Edward Trey Pruiett

Individual provider Case Manager/Care Coordinator · NPI 1942925912

Edward Trey Pruiett is a Case Manager/Care Coordinator in Wynne, Arkansas. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

204 Mississippi St S
Wynne, AR 72396-3025
Phone: (870) 208-8499
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1942925912
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 11, 2022
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

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