Provider Demographics
NPI:1902598865
Name:SPRUILL, RASHONDA (ASSISTANT ADMINISTRA)
Entity Type:Individual
Prefix:MS
First Name:RASHONDA
Middle Name:
Last Name:SPRUILL
Suffix:
Gender:F
Credentials:ASSISTANT ADMINISTRA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5353 E PRINCESS ANNE RD STE F5353E
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-1861
Mailing Address - Country:US
Mailing Address - Phone:757-272-3868
Mailing Address - Fax:757-578-2649
Practice Address - Street 1:5353 E PRINCESS ANNE RD STE F5353E
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-1861
Practice Address - Country:US
Practice Address - Phone:757-272-3868
Practice Address - Fax:757-578-2649
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-253241251E00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No251E00000XAgenciesHome Health