Individual
MRS. KEIA T SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
830 SOUTHAMPTON AVE, NORFOLK, VA 23510-1001
(757) 683-2800
(757) 683-2528
Mailing address
830 SOUTHAMPTON AVE, NORFOLK, VA 23510-1001
(757) 683-2800
(757) 683-2528
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024169819
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-010
TRICARE/CHAMPUS
VA
01
—
10127469N
OPTIMA HEALTH
VA
01
—
1124384656
VIRGINIA PREMIER HEALTH PLAN
VA
05
—
1124384656
—
NC
05
—
1124384656
—
VA
01
—
PAR
CORVEL
VA
Enumeration date
04/10/2012
Last updated
01/28/2025
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