Most Relevant Information
Provider Data
| NPI Number: | 1003530635 |
| Provider Name: | KAITLIN SPIVEY FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 281465 |
Most Important Dates
| Enumeration Date: | 09/27/2022 |
| Last Updated: | 09/27/2022 |
Provider Practice Location
7701 W ASPERA BLVD
GLENDALE
AZ
853087947
Practice Location Phone/Fax
| Phone: | 6232482100 |
| Fax: |
Provider Mailing Location
7701 W ASPERA BLVD
GLENDALE
AZ
853087947
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |