Spisak-Dial, Patricia Helen

Spisak-Dial, Patricia Helen is an individual health care provider with primary practice located at 1700 S 23Rd St , Fort Pierce FL 34950-4803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Spisak-Dial, Patricia Helen can be contacted via phone (772) 468-4551.

Contact Information

Primary practice address
1700 S 23Rd St Fort Pierce FL 34950-4803
Phone: (772) 468-4551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2822282 Florida

Profile Details

NPI number 1912958851
LBN Legal business name Spisak-Dial, Patricia Helen
Credentials MSN, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Apr 1st, 2019 - about 6 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 1912958851 NPPES
Other 14213142 CAQH
MEDICAID 3081184 00 CAQH

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