| NPI | 1487057717 |
|---|---|
| Former Name | REGINA NICOLE SPENCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 285004) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201909162NPPP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60793671) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 832131) | |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2024-06-12 |