Healthcare Provider Details

I. General information

NPI: 1912820630
Provider Name (Legal Business Name): HILLARY NICHOL SPRYN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 405 BOX 1379
APO AE
09034-0014
US

IV. Provider business mailing address

PSC 405 BOX 1379
APO AE
09034-0014
US

V. Phone/Fax

Practice location:
  • Phone: 719-362-0254
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30004779
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: