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

Mrs. Laci Nikole Pruitt

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699578005

Mrs. Laci Nikole Pruitt is a Student in an Organized Health Care Education/Training Program in Fort Sam Houston, Texas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (717) 224-4911
Show map & directions

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

Specialties & licences

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

Record details

NPI number1699578005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 31, 2025
Certification dateMarch 5, 2025

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