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NPI Code Detail

MEDICARE: DONNA M SPENCER CNP

MEDICARE:   DONNA M SPENCER  CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerNP-06040OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225001258
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA M SPENCER CNP
Provider Business Mailing Address
First Line : PO BOX 329
Second Line :
City : COMMERCIAL POINT
State : OH
Zip : 43116-0329
Country : US
Telephone Number : 614-877-9175
Fax Number :
Provider Business Practice Location Address
First Line : 5 MAIN STREET
Second Line :
City : COMMERCIAL POINT
State : OH
Zip : 43116-0329
Country : US
Telephone Number : 614-877-9175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 11/13/2012

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