Individual provider · Type 1 NPI

Taylor Brooke Spruell, PA

Physician Assistant · St. Louis, MO

NPI number 1558079186 Active

Practice location

10010 Kennerly Rd
St. Louis, MO 63128-2106

Call (314) 525-1906 Map

Other practice locations

  • 100 Medical Plz, Lake St. Louis, MO 63367-1366 · (636) 625-5200

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2022049204 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1558079186

Taylor Brooke Spruell, PA's National Provider Identifier is 1558079186, issued on Nov 14, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 17, 2026.