Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taylor Brooke Spruell, PA

Individual provider Physician Assistant · NPI 1558079186

Taylor Brooke Spruell, PA is a Physician Assistant in Lake St Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

100 Medical Plz
Lake St Louis, MO 63367-1366
Phone: (636) 625-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2022049204 (MO)

Record details

NPI number1558079186
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 14, 2022
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023

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