Individual
LISA RIDDLE SPRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5992 BERRYHILL RD, MILTON, FL 32570-1013
(850) 626-9626
Mailing address
6250 HEART PINE DR, PENSACOLA, FL 32504-7822
(850) 449-5473
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2196102
FL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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