Provider Demographics
NPI:1174081954
Name:SPRADLIN, BARABRA BREANNE (RN)
Entity type:Individual
Prefix:
First Name:BARABRA
Middle Name:BREANNE
Last Name:SPRADLIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2989 MERIDIAN WAY APT 16
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-6893
Mailing Address - Country:US
Mailing Address - Phone:310-903-3396
Mailing Address - Fax:
Practice Address - Street 1:212 WILLOW VALLEY LAKES DR STE 208
Practice Address - Street 2:
Practice Address - City:WILLOW STREET
Practice Address - State:PA
Practice Address - Zip Code:17584-9668
Practice Address - Country:US
Practice Address - Phone:717-740-4434
Practice Address - Fax:717-740-4451
Is Sole Proprietor?:No
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95031159163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management