Individual
JUDITH K SPAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2162 W KIMBERLY RD, DAVENPORT, IA 52806-5368
(563) 388-7000
(563) 388-7001
Mailing address
2162 W KIMBERLY RD, DAVENPORT, IA 52806-5368
(563) 388-7000
(563) 388-7001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2838
WI
363LA2100X
Acute Care Nurse Practitioner
209-001288
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
A084351
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106692
HEALTH ALLIANCE
—
01
—
P00251727
RAILROAD MEDICARE
—
01
—
S90080
BLUE CROSS BLUE SHIELD
IL
01
—
S90080
TRICARE
—
Enumeration date
05/23/2006
Last updated
06/05/2015
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