| NPI | 1073394532 |
|---|---|
| Former Name | SHELBY SPANGLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP028866) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN666265) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-12-06 |