Spencer, Breanna Ashley

Spencer, Breanna Ashley is an individual health care provider with primary practice located at 750 N Syringa St Ste 190 , Post Falls ID 83854-5275. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Spencer, Breanna Ashley can be contacted via phone (208) 262-2328.

Contact Information

Primary practice address
750 N Syringa St Ste 190 Post Falls ID 83854-5275
Phone: (208) 262-2328
Fax: (208) 619-5057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-994A Idaho

Profile Details

NPI number 1932413838
LBN Legal business name Spencer, Breanna Ashley
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2010
Last updated Apr 2nd, 2021 - about 3 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 1932413838 NPPES
Idaho MEDICAID 1932413838
Idaho MEDICAID 2071943

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