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Mary Jo L Spencer, CPNP
Pediatric Nurse Practitioner in Minneapolis, Minnesota
NPI 1881794659

Mary Jo L Spencer is a Pediatric Nurse Practitioner based in Minneapolis, MN and is specialized in Pediatrics. Mary Jo L Spencer practices in Minneapolis, MN and has the professional credentials of CPNP. The NPI Number for Mary Jo L Spencer is 1881794659 and holds a License No. R 086024-0 (Minnesota).

The current practice location address for Mary Jo L Spencer is 516 Delaware St Se, Minneapolis, MN and can be reached out via phone at 612-884-0936.

Location: 516 Delaware St Se, Minneapolis, MN, 55455
person
Provider Profile Details
NPI Number
1881794659
Provider Name
Mary Jo L Spencer
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
516 Delaware St Se, Minneapolis, MN, 55455
Phone Number
612-884-0936
Fax Number
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12-13453 01 MN MEDICA CHOICE
HP20941 01 MN HEALTH PARTNERS
05G59SP 01 MN BLUE CROSS BLUE SHIELD
768359 01 MN ARAZ
107868 01 MN UCARE
12-13453 01 MN MEDICA PRIMARY
4300179 05 MT
131017800 05 MN
1015967 01 MN PREFERRED ONE
157941 01 MN FAIRVIEW
institution
Provider Business Practice Location Address Details
Address
516 Delaware St Se
City
State
Zip
55455-0356
Phone Number
612-884-0936
Fax Number
person
Provider Business Mailing Address Details
Address
516 Delaware St Se
City
State
Zip
55455-0356
Phone Number
612-884-0936
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R 086024-0 (Minnesota)
Definition
Definition to come...
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