Provider Demographics
NPI:1346099272
Name:SPRUILL, MONIQUE DESHAWN
Entity type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:DESHAWN
Last Name:SPRUILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:986 JASON AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-2932
Mailing Address - Country:US
Mailing Address - Phone:330-945-0041
Mailing Address - Fax:
Practice Address - Street 1:986 JASON AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-2932
Practice Address - Country:US
Practice Address - Phone:330-945-0041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health