Individual
SPENCER SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6050 STERLING CREEK RD, PORTAGE, IN 46368-7752
(219) 763-8112
Mailing address
231 SPRUCE ST, MOMENCE, IL 60954-1069
(815) 351-4153
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209022630
IL
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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