Healthcare Provider Details

I. General information

NPI: 1558358226
Provider Name (Legal Business Name): DENISE MICHELLE SPINNER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2005
Last Update Date: 09/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3417 N 12TH AVE
PENSACOLA FL
32503-4008
US

IV. Provider business mailing address

3417 N 12TH AVE
PENSACOLA FL
32503-4008
US

V. Phone/Fax

Practice location:
  • Phone: 850-432-7310
  • Fax: 850-432-7320
Mailing address:
  • Phone: 850-432-7310
  • Fax: 850-432-7320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberARNP1477472
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: