Provider Demographics
NPI:1851723530
Name:SPANGLER, CHARLYNE RAE (APRN)
Entity Type:Individual
Prefix:
First Name:CHARLYNE
Middle Name:RAE
Last Name:SPANGLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 W LEOTA ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-6293
Mailing Address - Country:US
Mailing Address - Phone:308-534-2900
Mailing Address - Fax:308-534-2903
Practice Address - Street 1:220 W LEOTA ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6293
Practice Address - Country:US
Practice Address - Phone:308-534-2900
Practice Address - Fax:308-534-2903
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111561363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily