Spencer, Michelle Susan

Spencer, Michelle Susan is an individual health care provider with primary practice located at 400 Estudillo Ave Ste 100 , San Leandro CA 94577-4962. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Spencer, Michelle Susan can be contacted via phone (510) 924-0549.

Contact Information

Primary practice address
400 Estudillo Ave Ste 100 San Leandro CA 94577-4962
Phone: (510) 924-0549
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95004531 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95004531 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95004531 California

Profile Details

NPI number 1851803340
LBN Legal business name Spencer, Michelle Susan
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2017
Last updated Jun 17th, 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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