Individual
ELIZABETH SPAETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
411 30TH ST STE 314, OAKLAND, CA 94609-3312
(510) 465-6800
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5084
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R226564
MD
163WC0200X
Critical Care Medicine Registered Nurse
0001232064
VA
163WC0200X
Critical Care Medicine Registered Nurse
95213651
CA
363L00000X
Nurse Practitioner
73855
ID
363LA2100X
Acute Care Nurse Practitioner
0024173830
VA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
95014076
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
R226564
MD
Other
Enumeration date
02/13/2017
Last updated
07/23/2025
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