Individual
TARA M SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
200 ARH LN., LOW MOOR, VA 24457-0007
(540) 862-7064
(540) 862-5727
Mailing address
PO BOX 457, WHITE SULPHUR SPRINGS, WV 24986-0457
(304) 536-5030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN75209NP
WV
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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