Provider Demographics
NPI:1407227861
Name:SPENCER, YULIYA (CRNP)
Entity Type:Individual
Prefix:
First Name:YULIYA
Middle Name:
Last Name:SPENCER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:SPENCER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:129 E PARK CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3000
Mailing Address - Country:US
Mailing Address - Phone:205-836-7283
Mailing Address - Fax:205-836-7824
Practice Address - Street 1:129 E PARK CIR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3000
Practice Address - Country:US
Practice Address - Phone:205-836-7283
Practice Address - Fax:205-836-7824
Is Sole Proprietor?:No
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1122139363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health