Mary Jo L Spencer in Minneapolis - Pediatrics
Mary Jo L Spencer - NPI 1881794659
Mary Jo L Spencer is a Pediatrics in Minneapolis, Minnesota. Mary Jo L Spencer practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Jo L Spencer is 1881794659. The last update date is 2007-07-08.
Mary Jo L Spencer's current location address is 420 Delaware Street Se, Minneapolis, Minnesota. You can contact this provider via phone number 6128840936. The mailing address for Mary Jo L Spencer is 420 Delaware Street Se, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo L Spencer |
|---|---|
| Address | 420 Delaware Street Se, Minneapolis, Minnesota |
| Phone Number | 6128840936 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1881794659 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 420 Delaware Street Se |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 55455 |
| Phone Number | 6128840936 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | R 086024-0 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12-13453 | MN | MEDICA CHOICE | |
| HP20941 | MN | HEALTH PARTNERS | |
| 05G59SP | MN | BLUE CROSS BLUE SHIELD | |
| 768359 | MN | ARAZ | |
| 107868 | MN | UCARE | |
| 12-13453 | MN | MEDICA PRIMARY | |
| 4300179 | MT | -- | |
| 131017800 | MN | -- | |
| 1015967 | MN | PREFERRED ONE | |
| 157941 | MN | FAIRVIEW |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Jo L Spencer by the Centers for Medicare & Medicaid Services?
The Mary Jo L Spencer has been assigned the NPI (National Provider Identifier) 1881794659 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mary Jo L Spencer?
The Mary Jo L Spencer is physically situated at 420 Delaware Street Se, in the city of Minneapolis, state of MN, with the postal code 55455.
What is Mary Jo L Spencer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Jo L Spencer's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1881794659 to Mary Jo L Spencer?
The Centers for Medicare & Medicaid Services assigned the 1881794659 to Mary Jo L Spencer on 2006-09-22.
When was the information regarding Mary Jo L Spencer most recently updated?
The details pertaining to the Mary Jo L Spencer, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY