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Individual

PETRA SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(210) 542-2011
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9519497
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
AC003797
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
01/05/2021
Last updated
01/03/2026
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