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Mrs. Suzan Denise Spivey, NP
Adult Health Nurse Practitioner in Indianapolis, Indiana
NPI 1235357864

Suzan Denise Spivey is an Adult Health Nurse Practitioner based in Indianapolis, IN and is specialized in Adult Health. Suzan Denise Spivey practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Suzan Denise Spivey is 1235357864 and holds a License No. 71000878A (Indiana).

The current practice location address for Suzan Denise Spivey is 1400 N Ritter Ave, Indianapolis, IN and can be reached out via phone at 317-355-1234 and via fax at 317-355-1505.

Location: 1400 N Ritter Ave, Indianapolis, IN, 46250-2805
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Provider Profile Details
NPI Number
1235357864
Provider Name
Suzan Denise Spivey
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1400 N Ritter Ave, Indianapolis, IN, 46250-2805
Phone Number
317-355-1234
Fax Number
317-355-1505
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71000878A 01 IN STATE LICENSE NUMBER
200280400 05 IN
P01209645 01 IN RR MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1400 N Ritter Ave
City
State
Zip
46219-3052
Phone Number
317-355-1234
Fax Number
317-355-1505
person
Provider Business Mailing Address Details
Address
1400 N Ritter Ave
City
State
Zip
46219-3052
Phone Number
317-355-1234
Fax Number
317-355-1505
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
71000878A (Indiana)
Definition
Definition to come...
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