Provider Demographics
NPI:1790065712
Name:SPRUELL, DANIELLE CATHERINE (APN)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:CATHERINE
Last Name:SPRUELL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 GIORDANO AVE
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-4106
Mailing Address - Country:US
Mailing Address - Phone:973-713-9197
Mailing Address - Fax:
Practice Address - Street 1:1945 NEW JERSEY 33
Practice Address - Street 2:
Practice Address - City:NEPTUNE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07753
Practice Address - Country:US
Practice Address - Phone:732-775-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-22
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209008909363LA2100X
NJ26NJ00397700363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care