Individual
MISS MARY ANN SPAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
89 WEST MILLS STREET, COLUMBUS, NC 28722
(828) 894-0377
(828) 894-0760
Mailing address
PO BOX 955, COLUMBUS, NC 28722-0955
(828) 894-0377
(828) 894-0760
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5004949
NC
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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