NPI Code Details Logo

NPI 1073478046

NPI 1073478046 : EILEEN SPAUGH : MARLTON, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1073478046
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    EILEEN SPAUGH
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/22/2025
-----------------------------------------------------
    Last Update Date     |    12/22/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    141 ROUTE 70 E STE B 
-----------------------------------------------------
    City                 |    MARLTON
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08053-1855
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    856-596-9057
-----------------------------------------------------
    Fax                  |    856-762-1386
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    141 ROUTE 70 E STE B 
-----------------------------------------------------
    City                 |    MARLTON
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08053-1855
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    856-596-9057
-----------------------------------------------------
    Fax                  |    856-762-1386
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    26NR17706600
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.