Individual
IVANA SPACIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 773-4312
Mailing address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 773-4312
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8836
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209017238
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8836
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100084203
—
WI
05
—
100084205
—
WI
Enumeration date
02/08/2018
Last updated
11/24/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us