Spencer, Amanda

Spencer, Amanda is an individual health care provider with primary practice located at 4050 W Memorial Rd , Oklahoma City OK 73120-8382. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Spencer, Amanda can be contacted via phone (405) 608-3800.

Contact Information

Primary practice address
4050 W Memorial Rd Oklahoma City OK 73120-8382
Phone: (405) 608-3800
Fax: (405) 680-3838
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 96251 Oklahoma

Profile Details

NPI number 1306233176
LBN Legal business name Spencer, Amanda
Credentials APRN. CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2015
Last updated Feb 24th, 2017 - about 8 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 1306233176 NPPES
Oklahoma MEDICAID 200588340A

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