Individual
STACI KRISANN SPAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
441 MCALISTER RD, STE 2400, LINCOLNTON, NC 28092
(704) 735-0511
(704) 735-0544
Mailing address
441 MCALISTER RD, STE 2400, LINCOLNTON, NC 28092
(704) 735-0511
(704) 735-0544
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5006345
NC
363LF0000X
Family Nurse Practitioner
5006345
NC
Other
Enumeration date
07/24/2013
Last updated
10/17/2023
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