Scarlet Rae Spain, MSN, FNP-BC
Nurse Practitioner, Family in East Chicago, IN. Individual provider (NPI-1).
NPI number1891024261
StatusActive
Last updated in NPPESOct 14, 2010
Details
- NPI
- 1891024261
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Scarlet Rae Spain
- Credential
- MSN, FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2009
- Last updated
- Oct 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 28160228A | IN | Yes |
Practice location
3210 Watling StMedical Dept. 8-210
East Chicago, IN 46312-1716
Phone 219-399-3133 · Fax 219-399-5814
Mailing address
3210 Watling StMedical Dept. 8-210
East Chicago, IN 46312-1716
Phone 219-399-3133 · Fax 219-399-5814
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