Individual
MRS. EDWINA FAY SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 E STATE ST, STERLING, MI 48659-9548
(989) 654-2491
(989) 654-2190
Mailing address
725 E STATE ST, P O BOX 740, STERLING, MI 48659-9548
(989) 654-2491
(989) 654-2190
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2015001262
MO
363L00000X
Nurse Practitioner
3006606
KY
363LF0000X
Family Nurse Practitioner
Primary
4704318312
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710204078
—
MO
05
—
7100129420
—
KY
Enumeration date
04/27/2010
Last updated
05/31/2016
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