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NPI Code Detail

MEDICARE: MRS. MARCI JANE SPRUILL MSN, CPNP

MEDICARE:  MRS. MARCI JANE SPRUILL  MSN, CPNP
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
1363LP0200XPediatric Nurse Practitioner15847CA

General Provider Information

NPI Number : 1063423747
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARCI JANE SPRUILL MSN, CPNP
Provider Business Mailing Address
First Line : 1722 S LEWIS RD
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-8520
Country : US
Telephone Number : 805-445-7837
Fax Number : 805-445-7830
Provider Business Practice Location Address
First Line : 1722 S LEWIS RD
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-8520
Country : US
Telephone Number : 805-445-7837
Fax Number : 805-445-7830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. MARCI JANE SPRUILL MSN, CPNP” Practice Location

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