Spencer, Amanda

Spencer, Amanda is an individual health care provider with primary practice located at 4050 W Memorial Rd , Oklahoma City OK 73120-8382. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Spencer, Amanda can be contacted via phone (405) 608-3800.

Contact Information

Primary practice address

4050 W Memorial Rd Oklahoma City OK 73120-8382

Phone: (405) 608-3800

Fax: (405) 680-3838

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology	363LG0600X	96251	Oklahoma

Profile Details

NPI number	1306233176
LBN Legal business name	Spencer, Amanda
Credentials	APRN. CNP
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Apr 20th, 2015
Last updated	Feb 24th, 2017 - about 9 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

State	Type	Number	Issuer
All States	NPI	1306233176	NPPES
Oklahoma	MEDICAID	200588340A

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