Individual
MRS. NANCY J SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
53-59 PUBLIC SQ, STE 301, WATERTOWN, NY 13601-2674
(315) 782-2141
(315) 782-5123
Mailing address
53-59 PUBLIC SQ, STE 301, WATERTOWN, NY 13601-2674
(315) 782-2141
(315) 782-5123
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301162
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01568510
—
NY
01
—
9680886
GHI
NY
Enumeration date
05/24/2005
Last updated
10/25/2007
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