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

Robert Alan Pruett III, AGACNP-BC

Individual provider Registered Nurse · NPI 1295665453

Robert Alan Pruett III, AGACNP-BC is a Registered Nurse in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2026.

Licensed in
IN
In the registry since
2026

Practice location Address checks out

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Phone: (260) 668-0033
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 28264335C (IN)

Record details

NPI number1295665453
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedMay 20, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

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