Individual
ANDREW PAUL SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1468
Mailing address
312 WILLIS RD, FRANKLIN, VA 23851-2910
(757) 705-3441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO09106000
NJ
163WA2000X
Administrator Registered Nurse
Primary
0001245395
VA
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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