Healthcare Provider Details

I. General information

NPI: 1871390179
Provider Name (Legal Business Name): MS. ROSE MARIE SPRUENGLI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 THORNE AVE
WILMINGTON OH
45177-1255
US

IV. Provider business mailing address

455 THORNE AVE
WILMINGTON OH
45177-1255
US

V. Phone/Fax

Practice location:
  • Phone: 937-992-3324
  • Fax:
Mailing address:
  • Phone: 937-768-4390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code374K00000X
TaxonomyReligious Nonmedical Practitioner
License Number
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: