Individual
MS. JUDITH IDA SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12011 LEE JACKSON MEMORIAL HWY, KAISER PERMANENTE PENDERBROOK MEDICAL CENTER, FAIRFAX, VA 22033-3310
(703) 383-5407
(703) 383-5489
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0001083670
VA
363LF0000X
Family Nurse Practitioner
Primary
0024164531
VA
Other
Enumeration date
12/14/2006
Last updated
12/06/2012
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