Individual
COLIN SPAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
630 DRAKE AVE, SAUSALITO, CA 94965-1107
(415) 339-8813
(415) 339-8814
Mailing address
229 RHONDA WAY, MILL VALLEY, CA 94941-3481
(415) 419-4111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
789899
CA
363LF0000X
Family Nurse Practitioner
Primary
22806
CA
Other
Enumeration date
04/11/2013
Last updated
11/01/2013
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