Provider Demographics
NPI:1013250380
Name:SPIEGEL, ARLEEN MARIE
Entity Type:Individual
Prefix:
First Name:ARLEEN
Middle Name:MARIE
Last Name:SPIEGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ARLEEN
Other - Middle Name:
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN/LVN
Mailing Address - Street 1:6202 W NIELSEN CT
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34446-7708
Mailing Address - Country:US
Mailing Address - Phone:352-433-9833
Mailing Address - Fax:
Practice Address - Street 1:6202 W NIELSEN CT
Practice Address - Street 2:
Practice Address - City:HOMOSASSA
Practice Address - State:FL
Practice Address - Zip Code:34446-7708
Practice Address - Country:US
Practice Address - Phone:352-433-9833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN263656164X00000X
FLPN5161303164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No164X00000XNursing Service ProvidersLicensed Vocational Nurse