Individual
SPENCER ANDREW SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
4592 S DENISON AVE, MERIDIAN, ID 83642-9224
(208) 514-6934
Mailing address
4592 S DENISON AVE, MERIDIAN, ID 83642-9224
(208) 514-6934
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
78896
ID
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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