Individual
CARMEN SPINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3001 WOODWARD AVE., LOCK HAVEN, PA 17745
(570) 753-5000
(570) 753-3475
Mailing address
PO BOX 430, AVIS, PA 17721-0430
(570) 753-5000
(570) 753-3475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD033890L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010467570002
—
PA
01
—
002669
FIRST PRIORITY HEALTH
PA
01
—
131918
BLUE SHIELD
PA
01
—
18176
GEISINGER HEALTH PLAN
PA
01
—
5445312
AETNA
PA
01
—
P00153396
RAILROAD MEDICARE
PA
Enumeration date
10/23/2006
Last updated
07/08/2007
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