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NPI Code Detail

MEDICARE: MICHELLE SELLERS SPENCE

MEDICARE:   MICHELLE SELLERS SPENCE
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
13747A0650XAttendant Care Provider220157191IN

General Provider Information

NPI Number : 1588346894
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE SELLERS SPENCE
Provider Business Mailing Address
First Line : 4814 LYNTON CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-2138
Country : US
Telephone Number : 317-355-3460
Fax Number :
Provider Business Practice Location Address
First Line : 4814 LYNTON CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-2138
Country : US
Telephone Number : 317-355-3460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2023
Last Update Date : 08/11/2023

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Directions to “ MICHELLE SELLERS SPENCE ” Practice Location

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