Maureen A Spain
Nurse Practitioner Nurse Practitioner - Neonatal Nurse Practitioner - Psychiatric/Mental Health and 1 more
8626 Airways Blvd
Southaven
, Mississippi 38671-2603
Maureen A Spain
Nurse Practitioner Nurse Practitioner - Neonatal Nurse Practitioner - Psychiatric/Mental Health and 1 more
8626 Airways Blvd
Southaven
, Mississippi 38671-2603
(662) 772-5940
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Neonatal
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Maureen A Spain
- Po Box 1980
- Southaven, MS
- Zip : 38671-0023
- Fax : (662) 772-5940
- Phone : (662) 772-5937
Second Address
- Maureen A Spain
- 8626 Airways Blvd
- Southaven, MS
- Zip : 38671-2603
- Fax : (662) 772-5940
- Phone : (662) 772-5937
Reviews
FAQs
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Is Maureen A Spain a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | APN7656 | TN |
| N | 363LN0000X | Nurse Practitioner - Neonatal | 2009034350 | MO |
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 000196 | MS |
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 184206 | MT |
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 7656 | TN |
National Provider Identifier
| NPI | 1194770024 |
|---|---|
| Provider Name | Maureen A Spain |
| First Address | Southaven, MS 38671-0023 |
| Second Address | Southaven, MS 38671-2603 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2006 |
| Last Update Date | 06/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3495342 | (05) | TN |
| NA | SUBMITTING CREDENTIALING APPLICATIONS CURRENTLY (01) | MS |
| S69609 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.