MEDICARE: STACY SPAETH PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2014008884	MN

General Provider Information

NPI Number	:	1972900272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY SPAETH PMHNP

Provider Business Mailing Address
First Line	:	116 E LINCOLN AVE
Second Line	:
City	:	FERGUS FALLS
State	:	MN
Zip	:	56537-2217
Country	:	US
Telephone Number	:	218-332-5390
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 E LINCOLN AVE
Second Line	:
City	:	FERGUS FALLS
State	:	MN
Zip	:	56537-2217
Country	:	US
Telephone Number	:	218-332-5390
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2014
Last Update Date	:	12/04/2023

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1851224877 — FERGUS FALLS COMMUNITY COUNSELING
Practice Location Address:

116 E LINCOLN AVE
FERGUS FALLS, MN
56537-2217

Practice Phone: 218-205-1079
Practice Fax: 218-302-9713

1740306802 — DR. GRANT ROBERT COLLING D.D.S.
Practice Location Address:

124 E LINCOLN AVE
FERGUS FALLS, MN
56537-2217

Practice Phone: 218-736-5627
Practice Fax: 218-736-6955

1679769236 — DR. THEA L ROTHMANN PH.D.
Practice Location Address:

116 E LINCOLN AVE
FERGUS FALLS, MN
56537-2217

Practice Phone: 218-382-5380
Practice Fax:

1013554310 — NORTHERN LAKES DENTAL - RIVERFRONT, LLC
Practice Location Address:

124 E LINCOLN AVE
FERGUS FALLS, MN
56537-2217

Practice Phone: 218-736-5627
Practice Fax: 218-736-6955

1922778257 — STRONG SELF MENTAL HEALTH, PLLP
Practice Location Address:

116 E LINCOLN AVE
FERGUS FALLS, MN
56537-2217

Practice Phone: 218-332-0919
Practice Fax:

Directions to “ STACY SPAETH PMHNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.