Spruell, Adriane Michelle

Spruell, Adriane Michelle is an individual health care provider with primary practice located at 4444 Forest Park Ave , Saint Louis MO 63108-2212. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Spruell, Adriane Michelle can be contacted via phone (314) 362-4503.

Contact Information

Primary practice address
4444 Forest Park Ave Saint Louis MO 63108-2212
Phone: (314) 362-4503
Fax: (314) 362-4566
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2008023126 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 116231 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4002839 Kentucky

Profile Details

NPI number 1346623956
LBN Legal business name Spruell, Adriane Michelle
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2015
Last updated Jun 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346623956 NPPES
Illinois MEDICAID ENROLLED

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