Healthcare Provider Details

I. General information

NPI: 1689635351
Provider Name (Legal Business Name): ANNETTE L. SPINDLER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 04/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 LAKE LANSING RD SUITE G06
LANSING MI
48912-3756
US

IV. Provider business mailing address

1540 LAKE LANSING RD SUITE G06
LANSING MI
48912-3756
US

V. Phone/Fax

Practice location:
  • Phone: 517-482-7246
  • Fax: 517-484-7377
Mailing address:
  • Phone: 517-482-7246
  • Fax: 517-484-7377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704201504
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number4704201504
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: