Individual
MARY SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8061 SPRINGFIELD RD, GLENN DALE, MD 20769-9605
(434) 390-6641
(240) 206-3855
Mailing address
6415 GLENN DALE RD, GLENN DALE, MD 20769-9288
(434) 390-6641
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R196874
MD
Other
Enumeration date
07/18/2016
Last updated
05/01/2020
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