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NPI Code Detail

MEDICARE: MARSHA R SPALDING FNP

MEDICARE: MARSHA R SPALDING 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
1363LF0000XFamily Nurse Practitioner71001454AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000329398OTHERINANTHEM BCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710986617
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHA R SPALDING FNP
Provider Business Mailing Address
First Line : 315 MULBERRY ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47713-1252
Country : US
Telephone Number : 812-421-7489
Fax Number : 812-421-7497
Provider Business Practice Location Address
First Line : 315 MULBERRY ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47713-1252
Country : US
Telephone Number : 812-421-7489
Fax Number : 812-421-7497
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 01/06/2021

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