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Individual

SPENCER CLAUSSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
197 S WILLARD ST, COTTONWOOD, AZ 86326-4123
(480) 985-1093
(480) 296-7665
Mailing address
PO BOX 20610, MESA, AZ 85277-0610
(480) 985-1093
(480) 296-7665

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP10503
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10503
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
316228
AS
01
AP10503
AANP
AZ
Enumeration date
07/21/2017
Last updated
01/03/2024
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