Provider Demographics
NPI:1003164401
Name:SPENCER, NAYOYINKA MARIA ANN
Entity Type:Individual
Prefix:
First Name:NAYOYINKA
Middle Name:MARIA ANN
Last Name:SPENCER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 HART LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-2007
Mailing Address - Country:US
Mailing Address - Phone:615-460-4290
Mailing Address - Fax:615-460-4292
Practice Address - Street 1:717 HART LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-2007
Practice Address - Country:US
Practice Address - Phone:615-568-0773
Practice Address - Fax:615-771-0081
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0933059313747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider