Provider Demographics
NPI:1477909075
Name:SPRADLING, CARMENCITA LESLIE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CARMENCITA
Middle Name:LESLIE
Last Name:SPRADLING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6181 SARATOGA BLVD
Mailing Address - Street 2:UNIT 117
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2475
Mailing Address - Country:US
Mailing Address - Phone:361-444-5148
Mailing Address - Fax:361-444-5495
Practice Address - Street 1:5950 SARATOGA BLVD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-4100
Practice Address - Country:US
Practice Address - Phone:361-985-5811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131063363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily