Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | AP30007487 | WA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP30007487 | WA |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP30007487 | WA |
NPI | 1336240902 |
---|---|
Provider Name | Marchell Rene Spielmann |
First Address | Olympia, WA 98513-9415 |
Second Address | Olympia, WA 98513-9415 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 21/09/2021 |