Provider Demographics
NPI:1912427584
Name:SPRAGUE, BRITTANY LEE (DNP)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LEE
Last Name:SPRAGUE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 S 1000 W
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:UT
Mailing Address - Zip Code:84075-9113
Mailing Address - Country:US
Mailing Address - Phone:801-336-7327
Mailing Address - Fax:
Practice Address - Street 1:81 N 2000 W STE F2
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:UT
Practice Address - Zip Code:84015-8777
Practice Address - Country:US
Practice Address - Phone:801-614-5140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-23
Last Update Date:2017-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8154605-8900363LF0000X
UT8154605-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily