Provider Demographics
NPI:1578167524
Name:SPANGLER, JOYCE D
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:D
Last Name:SPANGLER
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 1:6714 SOUTHERN VISTA DR
Mailing Address - Street 2:
Mailing Address - City:ENON
Mailing Address - State:OH
Mailing Address - Zip Code:45323-1641
Mailing Address - Country:US
Mailing Address - Phone:937-340-6133
Mailing Address - Fax:
Practice Address - Street 1:6714 SOUTHERN VISTA DR
Practice Address - Street 2:
Practice Address - City:ENON
Practice Address - State:OH
Practice Address - Zip Code:45323-1641
Practice Address - Country:US
Practice Address - Phone:937-408-4875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty