SPENCER WELLNESS CENTRE LLC NPI 1386280923

NPI Information

NPI: 1386280923
Provider Name: SPENCER WELLNESS CENTRE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 15D2178837

Address:
7202 E 71ST ST
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 852-3616
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SPENCER WELLNESS CENTRE LLC is a family nurse practitioner in Indianapolis, IN. SPENCER WELLNESS CENTRE LLC NPI is 1386280923. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7202 E 71ST ST
INDIANAPOLIS, IN
ZIP 46256-904
Phone: (317) 852-3616

The provider's authorized official is Linda J Spencer .
The authorized official title is Owner/practicioner and has the following contact phone number (317) 852-3616.

The CLIA number assigned to this NPI record is 15D2178837 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/19/2019 and was last updated on 11/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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