Derek E Spencer in Baltimore - Nurse Practitioner

Derek E Spencer - NPI 1972776995

Derek E Spencer is a Nurse Practitioner in Baltimore, Maryland. Derek E Spencer practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Derek E Spencer is 1972776995. The last update date is 2009-07-16.

Derek E Spencer's current location address is 22 S Greene St, Baltimore, Maryland. You can contact this provider via phone number 4107061661. The mailing address for Derek E Spencer is 22 S Greene St, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Derek E Spencer
Address 22 S Greene St, Baltimore, Maryland
Phone Number 4107061661
Fax Number
Sole Proprietor N
Credentials CRNP

NPI Number Detail

NPI Number 1972776995
Provider Enumeration Date 2008-04-10
Last Updated Date 2009-07-16

Provider Mailing Address Detail

Address 22 S Greene St
City Baltimore
State Maryland (MD)
Post Code 212011544
Phone Number 4107061661
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No R108156
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
947321-01 & 02 MD BC/BS
S062-0348 MD BC/BS REGIONAL
416806200 MD --

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FAQs about Derek E Spencer

What is the unique 10-digit identifier code assigned to Derek E Spencer by the Centers for Medicare & Medicaid Services?

The Derek E Spencer has been issued the NPI (National Provider Identifier) 1972776995 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Derek E Spencer's facilities are situated?

The facilities of Derek E Spencer are physically located at the following address: 22 S Greene St, Baltimore, MD, 212011544.

What is Derek E Spencer's specialized field of practice, and what is the corresponding taxonomy classification code?

The Derek E Spencer's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.

When was the Derek E Spencer's 1972776995 issued?

The Derek E Spencer's 1972776995 was issued on 2008-04-10.

When was the information pertaining to Derek E Spencer most recently updated or revised?

The details related to Derek E Spencer, including its address, specialty, and other relevant information, were last updated or revised on 2009-07-16.

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