Provider Demographics
NPI:1164673992
Name:DILLON-SPRUILL, MARGARET ANN (ANP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:DILLON-SPRUILL
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:DILLON-SPRUILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ANP
Mailing Address - Street 1:2430 EMERALD PL STE 201
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5743
Mailing Address - Country:US
Mailing Address - Phone:252-752-2140
Mailing Address - Fax:
Practice Address - Street 1:2430 EMERALD PL STE 201
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5743
Practice Address - Country:US
Practice Address - Phone:252-752-2140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-10
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC204374163W00000X
NC5004209363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1164673992OtherTRICARE
NC7004309Medicaid
NCP00702499OtherMEDICARE RAILROAD
NC7004309Medicaid