Individual
PAULA SPROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 RALSTON AVE, SUITE 204, DEFIANCE, OH 43512-5311
(419) 782-8332
(419) 782-6855
Mailing address
1250 RALSTON AVE, SUITE 204, DEFIANCE, OH 43512-5311
(419) 782-8332
(419) 782-6855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-07120
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000379388
ANTHEM
OH
05
—
2441290
—
OH
Enumeration date
12/14/2005
Last updated
11/29/2023
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