Individual
MISTY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10455 LINCOLN HWY, ENTRANCE #12, EVERETT, PA 15537-7046
(814) 623-3570
Mailing address
2369 SCHELLSBURG RD, ENTRANCE #12, QUEEN, PA 16670-8935
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R241759
MD
Other
Enumeration date
12/06/2017
Last updated
02/14/2025
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