KELLY OLIVER SPANN NP NPI 1003990441

NPI Information

NPI: 1003990441
Provider Name: KELLY OLIVER SPANN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1250 E MARSHALL ST
DEPT. OF EMERGENCY MEDICINE
RICHMOND, VA
ZIP 23298
Phone: (804) 828-0996
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Kelly Oliver Spann, NP is a family nurse practitioner in Richmond, VA with 22 years of experience. Kelly Oliver Spann, NP NPI is 1003990441. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1250 E MARSHALL ST
DEPT. OF EMERGENCY MEDICINE
RICHMOND, VA
ZIP 23298-051
Phone: (804) 828-0996
Fax: (804) 628-0368

The NPI 1003990441 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 11/13/2015.

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	363LF0000X	Nurse Practitioner	Family	0024165415	VIRGINIA	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: 4/28/2024

NPI Synchronization or Removal

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