Most Relevant Information
Provider Data
| NPI Number: | 1003282864 |
| Provider Name: | MICHELLE SPENCER FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2015025652 |
Most Important Dates
| Enumeration Date: | 08/17/2015 |
| Last Updated: | 04/12/2023 |
Provider Practice Location
2750 S CAMPBELL AVE
SPRINGFIELD
MO
658073506
Practice Location Phone/Fax
| Phone: | 4172692281 |
| Fax: | 4172692292 |
Provider Mailing Location
PO BOX 802843
KANSAS CITY
MO
641802843
Provider Mailing Phone/Fax
| Phone: | 4177306430 |
| Fax: | 4172697567 |