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Individual

MRS. SUZAN DENISE SPIVEY

Active
Find providers by NPI
Individual

MRS. SUZAN DENISE SPIVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000878A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200280400
IN
01
71000878A
STATE LICENSE NUMBER
IN
01
P01209645
RR MEDICARE PTAN
IN
Enumeration date
04/20/2007
Last updated
03/07/2023
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