Individual
MELANIE LINN SPENCER
Active
Individual
MELANIE LINN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001669
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283465
—
IA
05
—
0293522
—
IA
05
—
0424507
—
IA
05
—
0600460
—
IA
05
—
0635011
—
IA
05
—
0655001
—
IA
01
—
29352
WMC-BCBS ER
IA
01
—
33444
WMC FPC-BCBS
IA
01
—
36174
WMC-BCBS DME
IA
01
—
60046
WMC BCBS
IA
01
—
66046
WMC BCBS SNF
IA
Enumeration date
10/28/2005
Last updated
10/30/2023
Update your record
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