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NPI Code Detail

MEDICARE: ELIZABETH BROOKS SPANGLE RN, FNP

MEDICARE: ELIZABETH BROOKS SPANGLE RN, FNP
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
1363LP0200XPediatric Nurse Practitioner200325NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2D3727OTHERMEDCOST

General Provider Information

NPI Number : 1669500369
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH BROOKS SPANGLE RN, FNP
Provider Business Mailing Address
First Line : 400 EAST COMMERCE STREET
Second Line :
City : HIGH POINT
State : NC
Zip : 27260-5221
Country : US
Telephone Number : 336-884-0224
Fax Number : 336-884-3471
Provider Business Practice Location Address
First Line : 400 EAST COMMERCE STREET
Second Line :
City : HIGH POINT
State : NC
Zip : 27260-5221
Country : US
Telephone Number : 336-884-0224
Fax Number : 336-884-3471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 03/01/2012

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