Healthcare Provider Details

I. General information

NPI: 1902833023
Provider Name (Legal Business Name): ROSANN MARIE SPIEGEL CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 10/17/2022
Certification Date: 06/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 OLD CAMP RD STE 230
THE VILLAGES FL
32162-1762
US

IV. Provider business mailing address

3077 N CAVES VALLEY PATH
LECANTO FL
34461-7862
US

V. Phone/Fax

Practice location:
  • Phone: 352-350-8484
  • Fax:
Mailing address:
  • Phone: 305-281-2844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP 1202832
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: