Healthcare Provider Details

I. General information

NPI: 1336240902
Provider Name (Legal Business Name): MARCHELL RENE SPIELMANN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/21/2021
Certification Date: 09/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1546 RESERVATION RD SE
OLYMPIA WA
98513-9415
US

IV. Provider business mailing address

1546 RESERVATION RD SE
OLYMPIA WA
98513-9415
US

V. Phone/Fax

Practice location:
  • Phone: 253-565-0130
  • Fax: 253-565-0130
Mailing address:
  • Phone: 253-565-0130
  • Fax: 253-565-0130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License NumberAP30007487
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30007487
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP30007487
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: