Provider Demographics
NPI:1780753376
Name:SPAHIS, JOANNA (RN, CNS, APNG)
Entity type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:
Last Name:SPAHIS
Suffix:
Gender:F
Credentials:RN, CNS, APNG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4509 TUXFORD CT
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7148
Mailing Address - Country:US
Mailing Address - Phone:972-801-9939
Mailing Address - Fax:
Practice Address - Street 1:1935 MEDICAL DISTRICT DR
Practice Address - Street 2:CHILDREN'S MEDICAL CENTER, DEPT. OF GENETICS F3622
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:214-456-2017
Practice Address - Fax:214-456-2567
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX542697163WP0200X, 364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics