Individual
KELLY ANNE SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MS,CPNP
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
COA.10244-NP
OH
Other
Enumeration date
01/04/2009
Last updated
01/04/2009
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