Spence, Susan R.

Spence, Susan R. is an individual health care provider with primary practice located at 2000 E Lamar Blvd Suite 400, Arlington TX 76006-7346. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Spence, Susan R. can be contacted via phone (682) 227-6834.

Contact Information

Primary practice address
2000 E Lamar Blvd Suite 400 Arlington TX 76006-7346
Phone: (682) 227-6834
Fax: (682) 227-6864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 623720 Texas

Profile Details

NPI number 1033185467
LBN Legal business name Spence, Susan R.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2006
Last updated Jan 6th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033185467 NPPES
Texas Other 86211U BCBS
Texas MEDICAID 181746201 BCBS
Texas Other 750818167015 BCBS

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