MRS. RENEE JOAN SPRAGUE
NPI 1366770661
Licensed Practical Nurse in Pueblo, CO

Active since November 24, 2009
3717 AZALEA ST, PUEBLO, CO 81005(719) 994-1674 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About RENEE SPRAGUE

This page provides the complete NPI Profile along with additional information for Renee Sprague, a provider established in Pueblo, Colorado with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1366770661 assigned on November 2009. The practitioner's primary taxonomy code is 164W00000X with license number 34696 (CO). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1366770661 Verify this NPI
Provider Name
MRS. RENEE JOAN SPRAGUE
Gender
Female
Entity Type
Individual
Location Address
3717 AZALEA ST PUEBLO, CO 81005
Location Phone
(719) 994-1674
Mailing Address
3717 AZALEA ST PUEBLO, CO 81005
Mailing Phone
(719) 994-1674
Is Sole Proprietor?
Yes
Enumeration Date
11-24-2009
Last Update Date
11-24-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
34696
License State
CO
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366770661, enumerated as an "individual" on November 24, 2009.

The provider is located at 3717 AZALEA ST PUEBLO, CO 81005 and the phone number is (719) 994-1674.

Licensed Practical Nurse with taxonomy code 164W00000X.