Individual
SUSAN J SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
7440 S 91ST ST, LINCOLN, NE 68526-9797
(402) 489-6555
(402) 328-3770
Mailing address
2000 Q ST, SUITE 500, LINCOLN, NE 68503-3609
(402) 328-4922
(402) 421-0946
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
941
NE
363AM0700X
Medical Physician Assistant
941
NE
363AS0400X
Surgical Physician Assistant
Primary
941
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026072500
—
NE
05
—
10026072600
—
NE
Enumeration date
10/04/2006
Last updated
06/04/2013
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