Individual
MRS. ADRIANE MICHELLE SPRUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4444 FOREST PARK AVE, SAINT LOUIS, MO 63108-2212
(314) 362-4503
(314) 362-4566
Mailing address
660 S EUCLID AVE, C B 8111, SAINT LOUIS, MO 63110-1010
(314) 362-4503
(314) 362-4566
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2008023126
MO
363LA2200X
Adult Health Nurse Practitioner
116231
WV
363LA2200X
Adult Health Nurse Practitioner
Primary
4002839
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IL
Enumeration date
06/30/2015
Last updated
06/27/2023
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