Krystle Dawn Spencer, RN
Registered Nurse, Psych/Mental Health in Wellsville, NY. Individual provider (NPI-1).
NPI number1619709854
StatusActive
Last updated in NPPESAug 16, 2024
Details
- NPI
- 1619709854
- Entity type
- Individual (NPI-1)
- Name
- Krystle Dawn Spencer
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2024
- Certification date
- Aug 16, 2024
- Last updated
- Aug 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 631254-01 | NY | Yes |
Practice location
4220 State Route 417 WWellsville, NY 14895-9332
Phone 585-593-6300
Mailing address
200 N Main StBolivar, NY 14715-1023
Phone 716-904-0583
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