Spencer, Simone M

Spencer, Simone M is an individual health care provider with primary practice located at 1245 Eastern Blvd , Baltimore MD 21221-3422. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Spencer, Simone M can be contacted via phone (410) 558-4700.

Contact Information

Primary practice address
1245 Eastern Blvd Baltimore MD 21221-3422
Phone: (410) 558-4700
Fax: (410) 780-0364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X F001074-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R224419 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R224419 Maryland

Profile Details

NPI number 1174521256
LBN Legal business name Spencer, Simone M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Dec 12th, 2022 - about 2 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 1174521256 NPPES
New York MEDICAID 02532281

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