Individual
MARIA LYNN SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
3824 BAY HILL LOOP SE, RIO RANCHO, NM 87124-8211
(505) 554-5542
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5362
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP-03353
NM
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
CNP-03353
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3975045
—
NM
Enumeration date
08/20/2017
Last updated
02/12/2020
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