Individual
MARSHA R SPALDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
315 MULBERRY ST, EVANSVILLE, IN 47713-1252
(812) 421-7489
(812) 421-7497
Mailing address
315 MULBERRY ST, EVANSVILLE, IN 47713-1252
(812) 421-7489
(812) 421-7497
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001454A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000329398
ANTHEM BCBS
IN
01
—
200079040B
MEDICAID GRP
IN
05
—
200469410
—
IN
Enumeration date
07/21/2005
Last updated
01/06/2021
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