Individual
MIRANDI RAE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
254 HIGHWAY 3048, RAYVILLE, LA 71269-3624
(318) 728-8322
Mailing address
254 HIGHWAY 3048, RAYVILLE, LA 71269-3624
(318) 728-8322
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
236650
LA
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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