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Individual

ELIZABETH SPELLMEYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2200 TYDD STEET, EUREKA, CA 95501
(707) 441-1624
(707) 441-1253
Mailing address
670 9TH STREET, SUITE 203, ARCATA, CA 95521
(707) 826-8633
(707) 826-8628

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60258208
WA
163WR0400X
Rehabilitation Registered Nurse
201240461RN
OR
363L00000X
Nurse Practitioner
Primary
95005116
CA

Other

Enumeration date
09/16/2014
Last updated
11/23/2016
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