Spicer, Nathan M

Spicer, Nathan M is an individual health care provider with primary practice located at 1200 S Columbia Rd , Grand Forks ND 58201-4012. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Spicer, Nathan M can be contacted via phone (701) 780-5000.

Contact Information

Primary practice address
1200 S Columbia Rd Grand Forks ND 58201-4012
Phone: (701) 780-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1399 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R29500 North Dakota

Profile Details

NPI number 1770763062
LBN Legal business name Spicer, Nathan M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2007
Last updated Oct 23rd, 2019 - about 5 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 1770763062 NPPES
North Dakota MEDICAID 14476

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