MEDICARE: ANDREW SPENCER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	783	NE

General Provider Information

NPI Number	:	1174178388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW SPENCER

Provider Business Mailing Address
First Line	:	1904 MEADOW RD
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68803-1583
Country	:	US
Telephone Number	:	308-850-7766
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 W 13TH ST STE 121
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68803-3302
Country	:	US
Telephone Number	:	308-675-1853
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2019
Last Update Date	:	08/05/2019

Similar Medicare Providers

1063688190 — EIJA FRIEDLANDER OT
Practice Location Address:

53 TIDY ISLAND BLVD
BRADENTON, FL
34210-3302

Practice Phone: 941-792-9618
Practice Fax:

1851654917 — MRS. RHONDA LEE KUBILIS RN
Practice Location Address:

26 KILLDEER ISLAND RD
WEBSTER, MA
01570-3302

Practice Phone: 508-341-1928
Practice Fax:

1366800997 — HOSPITAL AUDIENCES, INC.
Practice Location Address:

3302 SKILLMAN AVE , GROUND FLOOR
LONG ISLAND CITY, NY
11101-2337

Practice Phone: 212-575-7678
Practice Fax: 212-575-7669

1952850299 — FIRST CLASS AMBULANCE SERVICES LLC
Practice Location Address:

1680 SOLOMONS ISLAND RD S
PRINCE FREDERICK, MD
20678-3302

Practice Phone: 443-432-3028
Practice Fax:

1972454361 — HOPE PLACE RESIDENTIAL INC
Practice Location Address:

1716 BLUFFS ISLAND CT
ODENTON, MD
21113-3302

Practice Phone: 240-481-9212
Practice Fax:

1821922915 — DR. CARLOS SAMUEL GOMEZ DDS
Practice Location Address:

918 GRAND AVE
BILLINGS, MT
59102-3302

Practice Phone: 406-625-3000
Practice Fax:

Directions to “ ANDREW SPENCER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.