Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 3002627 | KY |
NPI | 1023123239 |
---|---|
Provider Name | Rebecca B Spitler |
First Address | Louisville, KY 40202-1423 |
Second Address | Louisville, KY 40204-1037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 16/05/2013 |