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Individual
AUTUMN SPENCE
Active
Individual
AUTUMN SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN1032692
DC
363LA2200X
Adult Health Nurse Practitioner
0024171354
VA
363LA2200X
Adult Health Nurse Practitioner
306540
NY
Other
Enumeration date
01/02/2014
Last updated
01/08/2018
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