Provider Demographics
NPI:1669686523
Name:SPENCER, NEVA JOYCE (NNP)
Entity Type:Individual
Prefix:
First Name:NEVA
Middle Name:JOYCE
Last Name:SPENCER
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:NEVA
Other - Middle Name:JOYCE
Other - Last Name:KLINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:11638 SHOSHONE WAY
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2631
Mailing Address - Country:US
Mailing Address - Phone:303-410-7016
Mailing Address - Fax:
Practice Address - Street 1:11638 SHOSHONE WAY
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2631
Practice Address - Country:US
Practice Address - Phone:303-410-7016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO85095163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO85095OtherNURSING LICENSE