Provider Demographics
NPI:1255767364
Name:SPELBRING, GERI ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:GERI
Middle Name:ANN
Last Name:SPELBRING
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2756 ELKTON TRL
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-0723
Mailing Address - Country:US
Mailing Address - Phone:903-534-0911
Mailing Address - Fax:903-534-8882
Practice Address - Street 1:2756 ELKTON TRL
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-0723
Practice Address - Country:US
Practice Address - Phone:903-534-0911
Practice Address - Fax:903-534-8882
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX686933363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP124434OtherTEXAS BOARD OF NURSING
TX686933OtherTEXAS BOARD OF NURSING
F0913205OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD