Healthcare Provider Details

I. General information

NPI: 1942270871
Provider Name (Legal Business Name): ANGELA C SPRUNGER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA MARIE CARTER

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 12/19/2020
Certification Date: 12/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 HIGHLANDS DR STE 101
LITITZ PA
17543-7507
US

IV. Provider business mailing address

409 S 2ND ST STE 2F
HARRISBURG PA
17104-1612
US

V. Phone/Fax

Practice location:
  • Phone: 717-393-1338
  • Fax: 717-625-7908
Mailing address:
  • Phone: 717-231-8929
  • Fax: 717-231-8588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW010050
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010050
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: