Spence, Edwina Fay

Spence, Edwina Fay is an individual health care provider with primary practice located at 725 E State St , Sterling MI 48659-9548. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Spence, Edwina Fay can be contacted via phone (989) 654-2491.

Contact Information

Primary practice address
725 E State St Sterling MI 48659-9548
Phone: (989) 654-2491
Fax: (989) 654-2190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3006606 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2015001262 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704318312 Michigan

Profile Details

NPI number 1710204078
LBN Legal business name Spence, Edwina Fay
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2010
Last updated May 31st, 2016 - about 10 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 1710204078 NPPES
Kentucky MEDICAID 7100129420
Kentucky MEDICAID 1710204078

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