Individual
LEIGH V. SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
7125 NEW SANGER AVENUE, WACO, TX 76710
(254) 399-5400
(254) 772-8669
Mailing address
PO BOX 21327, WACO, TX 76702-1327
(254) 399-5400
(254) 772-8669
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
600778
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y1514
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/11/2006
Last updated
03/03/2008
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