Individual
HOLLY SUE SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201140933RN
OR
163WX0003X
Inpatient Obstetric Registered Nurse
644378
CA
367A00000X
Advanced Practice Midwife
Primary
201150036NP
OR
Other
Enumeration date
09/21/2010
Last updated
11/01/2012
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