Organization
ELLEN SPINNER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN COLEEN SPINNER CNP (OWNER)
(937) 834-5320
Entity
Organization
Contact information
Practice address
15 N MAIN ST, MECHANICSBURG, OH 43044-1106
(937) 834-5320
(937) 834-5322
Mailing address
15 N MAIN ST, MECHANICSBURG, OH 43044-1106
(937) 834-5320
(937) 834-5322
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP04620
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2668411
—
OH
Enumeration date
05/12/2009
Last updated
05/13/2009
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