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NPI Code Detail

MEDICARE: NANCY C SPINA

MEDICARE: NANCY C SPINA
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1699281766
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY C SPINA
Provider Business Mailing Address
First Line : 708 SAINT LOUIS ST
Second Line :
City : EDWARDSVILLE
State : IL
Zip : 62025-1427
Country : US
Telephone Number : 618-656-1182
Fax Number : 618-655-6035
Provider Business Practice Location Address
First Line : 708 SAINT LOUIS ST
Second Line :
City : EDWARDSVILLE
State : IL
Zip : 62025-1427
Country : US
Telephone Number : 618-656-1182
Fax Number : 618-655-6035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2017
Last Update Date : 03/17/2018

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Directions to “ NANCY C SPINA ” 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.

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