Individual
SIMONE M SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
F001074-1
NY
363L00000X
Nurse Practitioner
R224419
MD
367A00000X
Advanced Practice Midwife
Primary
R224419
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02532281
—
NY
Enumeration date
07/12/2005
Last updated
12/12/2022
Update your record
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