Roger L. Sprague, CSA
Registered Nurse, Registered Nurse First Assistant in Greenville, NC. Individual provider (NPI-1).
NPI number1720164593
StatusActive
Last updated in NPPESSep 5, 2023
Details
- NPI
- 1720164593
- Entity type
- Individual (NPI-1)
- Name
- Mr. Roger L. Sprague
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2006
- Certification date
- Sep 5, 2023
- Last updated
- Sep 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | 291022 | NC | Yes |
Practice location
3956 Kings Crossroads RdGreenville, NC 27834-7323
Phone 501-580-4548
Mailing address
3956 Kings Crossroads RdGreenville, NC 27834-7323
Phone 501-580-4548
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