Individual
SHELLEY ANDREA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 NE INNER LOOP, GEORGETOWN, TX 78626-4439
(512) 943-5151
Mailing address
110 PECAN VISTA CV, GEORGETOWN, TX 78626-4542
(512) 923-5885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
631165
TX
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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