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Ivana Spaciel, APN
Psychiatric/Mental Health Nurse Practitioner in Wauwatosa, Wisconsin
NPI 1205335957

Ivana Spaciel is a Psychiatric/Mental Health Nurse Practitioner based in Wauwatosa, WI and is specialized in Psychiatric/Mental Health. Ivana Spaciel practices in Wauwatosa, WI and has the professional credentials of APN. The NPI Number for Ivana Spaciel is 1205335957 and holds a License No. 8836 (Wisconsin).

The current practice location address for Ivana Spaciel is 1220 Dewey Ave, Wauwatosa, WI and can be reached out via phone at 414-773-4312.

Location: 1220 Dewey Ave, Wauwatosa, WI, 53213-2504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205335957
Provider Name
Ivana Spaciel
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1220 Dewey Ave, Wauwatosa, WI, 53213-2504
Phone Number
414-773-4312
Fax Number
Provider Enumeration Date
02/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100084205 05 WI
100084203 05 WI
institution
Provider Business Practice Location Address Details
Address
1220 Dewey Ave
City
Wauwatosa
State
Wisconsin
Zip
53213-2504
Phone Number
414-773-4312
Fax Number
person
Provider Business Mailing Address Details
Address
1220 Dewey Ave
City
Wauwatosa
State
Wisconsin
Zip
53213-2504
Phone Number
414-773-4312
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209017238 (Illinois)
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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
8836 (Wisconsin)
Definition
Definition to come...
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