Individual
MRS. COLLEEN KAY SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
185 EDGEWOOD RD N, CUSTER, WI 54423-9780
(715) 592-4092
Mailing address
185 EDGEWOOD RD N, CUSTER, WI 54423-9780
(715) 592-4092
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
77124-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35002700
—
WI
Enumeration date
05/01/2008
Last updated
10/08/2008
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