Provider Demographics
NPI:1144309998
Name:SPROTT, DANA CAROL (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:CAROL
Last Name:SPROTT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 608
Mailing Address - Street 2:
Mailing Address - City:KRUM
Mailing Address - State:TX
Mailing Address - Zip Code:76249
Mailing Address - Country:US
Mailing Address - Phone:940-482-6702
Mailing Address - Fax:940-482-9704
Practice Address - Street 1:820 E. MCCART ST.,
Practice Address - Street 2:STE. A.
Practice Address - City:KRUM
Practice Address - State:TX
Practice Address - Zip Code:76249
Practice Address - Country:US
Practice Address - Phone:940-482-6702
Practice Address - Fax:940-482-9704
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX597377363L00000X
OKR0096598363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8N4759OtherBCBS
Q04825Medicare UPIN
TX8B6412Medicare ID - Type Unspecified
TXQ04825Medicare UPIN