Individual
LINDA LOUISE SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5225 RTE 347 STE 70, PORT JEFFERSON STATION, NY 11776-2061
(631) 331-8777
Mailing address
5225 RTE 347 STE 70, PORT JEFFERSON STATION, NY 11776-2061
(631) 331-8777
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F420996-1
NY
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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