Mia Lekendra Peterson Spence in Edenton - Family
Mia Lekendra Peterson Spence - NPI 1811176357
Mia Lekendra Peterson Spence is a Family in Edenton, North Carolina. Mia Lekendra Peterson Spence practices all healthcare services and medical treatments related to Family. The NPI Number for Mia Lekendra Peterson Spence is 1811176357. The last update date is 2007-11-01.
Mia Lekendra Peterson Spence's current location address is 105 Mark Dr, Edenton, North Carolina. You can contact this provider via phone number 2524823047. The mailing address for Mia Lekendra Peterson Spence is 105 Mark Dr, Edenton, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mia Lekendra Peterson Spence |
|---|---|
| Address | 105 Mark Dr, Edenton, North Carolina |
| Phone Number | 2524823047 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP-C |
NPI Number Detail
| NPI Number | 1811176357 |
|---|---|
| Provider Enumeration Date | 2007-11-01 |
| Last Updated Date | 2007-11-01 |
Provider Mailing Address Detail
| Address | 105 Mark Dr |
|---|---|
| City | Edenton |
| State | North Carolina (NC) |
| Post Code | 279321704 |
| Phone Number | 2524823047 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identifier code issued to Mia Lekendra Peterson Spence by the Centers for Medicare & Medicaid Services (CMS)?
The Mia Lekendra Peterson Spence has been assigned the NPI (National Provider Identifier) 1811176357. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Mia Lekendra Peterson Spence located?
The Mia Lekendra Peterson Spence is located at 105 Mark Dr, Edenton, NC 279321704.
What is Mia Lekendra Peterson Spence's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mia Lekendra Peterson Spence's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811176357 to Mia Lekendra Peterson Spence?
The Centers for Medicare & Medicaid Services assigned the 1811176357 to Mia Lekendra Peterson Spence on 2007-11-01.
When was the information regarding Mia Lekendra Peterson Spence, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mia Lekendra Peterson Spence, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-01.
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