Individual
ANITA R SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
415 E NOBLE AVE, BUSHNELL, FL 33513-5603
(352) 569-3102
(352) 793-6067
Mailing address
415 E NOBLE AVE, BUSHNELL, FL 33513-5603
(813) 505-5674
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9210547
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11036237
FL
Other
Enumeration date
05/23/2007
Last updated
11/14/2024
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