Individual
MS. BREANNA ASHLEY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
750 N SYRINGA ST STE 190, POST FALLS, ID 83854-5275
(208) 262-2328
(208) 619-5057
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2390
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-994A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932413838
—
ID
05
—
2071943
—
WA
Enumeration date
08/03/2010
Last updated
04/02/2021
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