Provider Demographics
NPI:1336240902
Name:SPIELMANN, MARCHELL RENE (ARNP)
Entity Type:Individual
Prefix:
First Name:MARCHELL
Middle Name:RENE
Last Name:SPIELMANN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1546 RESERVATION RD SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98513-9415
Mailing Address - Country:US
Mailing Address - Phone:253-565-0130
Mailing Address - Fax:253-565-0130
Practice Address - Street 1:1546 RESERVATION RD SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98513-9415
Practice Address - Country:US
Practice Address - Phone:253-565-0130
Practice Address - Fax:253-565-0130
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007487363LC1500X, 363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily