MEDICARE: MRS. PATTI A SPRANG CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	204771	OH
2	363LW0102X	Women's Health Nurse Practitioner	APRN.CNP.03488	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497818058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATTI A SPRANG CNP

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 W MAIN ST
Second Line	:
City	:	LEXINGTON
State	:	OH
Zip	:	44904-9543
Country	:	US
Telephone Number	:	567-241-7055
Fax Number	:	567-241-7565

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	03/22/2022

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