Individual
STACY SPAETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
116 E LINCOLN AVE, FERGUS FALLS, MN 56537-2217
(218) 332-5390
Mailing address
116 E LINCOLN AVE, FERGUS FALLS, MN 56537-2217
(218) 332-5390
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2014008884
MN
Other
Enumeration date
12/02/2014
Last updated
12/04/2023
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