Provider Demographics
NPI:1326472085
Name:SPINOSI, STEPHANIE A (ARNP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:A
Last Name:SPINOSI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 A AVE NE
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-5036
Mailing Address - Country:US
Mailing Address - Phone:319-369-7155
Mailing Address - Fax:319-861-6768
Practice Address - Street 1:1026 A AVE NE
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5036
Practice Address - Country:US
Practice Address - Phone:319-369-7155
Practice Address - Fax:319-861-6768
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA119496363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily