Provider Demographics
NPI:1730815259
Name:HUMPHREYS-SPRAGUE, MARY MARGARET (DNP)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:MARGARET
Last Name:HUMPHREYS-SPRAGUE
Suffix:
Gender:F
Credentials:DNP
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Mailing Address - Street 1:278 SKIPPERS LN
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-6579
Mailing Address - Country:US
Mailing Address - Phone:252-876-1448
Mailing Address - Fax:
Practice Address - Street 1:CAROLINA RIVERS NURSING AND REHABILITATION
Practice Address - Street 2:1839 ONSLOW DR
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540
Practice Address - Country:US
Practice Address - Phone:910-455-3610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2025-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC5016350363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology