Individual
ERICA BLAIR SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(800) 328-5979
Mailing address
216 COUNTY ROAD 487, LOTT, TX 76656-3725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP128325
TX
Other
Enumeration date
06/18/2015
Last updated
09/14/2020
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