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Individual
MARY P. SPENGLER
Active
Individual
MARY P. SPENGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN243934L
PA
363LF0000X
Family Nurse Practitioner
SP007604
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
SP007604
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
TP 003616G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0339377
KHP CENTRAL
PA
01
—
339377
HIGHMARK
PA
01
—
P00096351
RAIL ROAD MEDICARE
PA
Enumeration date
10/06/2005
Last updated
04/20/2020
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