Individual
PAMELA RAE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.C.
Contact information
Practice address
2450 N PARK DR STE A, COLUMBUS, IN 47203-2292
(812) 348-6373
(812) 348-6373
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71001111A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000548384
ANTHEM
IN
05
—
200885470
—
IN
Enumeration date
07/11/2006
Last updated
09/06/2024
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