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NPI Code Detail

MEDICARE: MS. DEONNA K SPIES APRN, PMHNP-BC

MEDICARE: MS. DEONNA K SPIES APRN, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1155283TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528810496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEONNA K SPIES APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 1015 S LAMAR ST
Second Line :
City : AMARILLO
State : TX
Zip : 79102-1318
Country : US
Telephone Number : 806-570-3171
Fax Number :
Provider Business Practice Location Address
First Line : 3674 S WASHINGTON ST
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-5766
Country : US
Telephone Number : 701-205-3000
Fax Number : 701-732-2501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2024
Last Update Date : 04/13/2026

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