Provider Demographics
NPI:1477328730
Name:SPRUILL, ARLENA JOHANNA CHANCE (CD (DONA))
Entity Type:Individual
Prefix:
First Name:ARLENA
Middle Name:JOHANNA CHANCE
Last Name:SPRUILL
Suffix:
Gender:F
Credentials:CD (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 BOSTIC DR APT 201
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-9446
Mailing Address - Country:US
Mailing Address - Phone:984-291-0710
Mailing Address - Fax:
Practice Address - Street 1:4220 BOSTIC DR APT 201
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-9446
Practice Address - Country:US
Practice Address - Phone:984-291-0710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-16
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15066374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula