Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 0024173830 | VA |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 95014076 | CA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | R226564 | MD |
NPI | 1609315522 |
---|---|
Provider Name | Elizabeth Spaetzel |
First Address | Salisbury, MD 21801-5422 |
Second Address | Oakland, CA 94609-3312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2017 |
Last Update Date | 12/03/2021 |