Provider Demographics
NPI:1437767043
Name:SPRUNGER, DONNA NICHTER (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:NICHTER
Last Name:SPRUNGER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7014 N RIVER RD
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43566-9450
Mailing Address - Country:US
Mailing Address - Phone:419-304-7489
Mailing Address - Fax:
Practice Address - Street 1:7014 N RIVER RD
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43566-9450
Practice Address - Country:US
Practice Address - Phone:419-304-7489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH453998163WP0808X
OHAPRN.CNP.0027364363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health