Healthcare Provider Details

I. General information

NPI: 1538669270
Provider Name (Legal Business Name): EUSTACIER SPENCER-HILL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EUSTACIER SPENCER FNP-BC

II. Dates (important events)

Enumeration Date: 02/20/2018
Last Update Date: 11/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 READE PL
POUGHKEEPSIE NY
12601-3947
US

IV. Provider business mailing address

73 MOORE RD
HOPEWELL JUNCTION NY
12533-4300
US

V. Phone/Fax

Practice location:
  • Phone: 845-483-6001
  • Fax: 845-483-6002
Mailing address:
  • Phone: 347-278-1799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number645145
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number344221
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: