Individual
PATRICIA SPIETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
445 S LANDMARK AVE, BLOOMINGTON, IN 47403-5004
(812) 353-3450
(812) 353-3451
Mailing address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-3450
(812) 353-3451
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001705
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200366170
—
IN
Enumeration date
07/20/2006
Last updated
12/23/2020
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