Odette Spencer, PMHNP | |
6209 16th Ave, Brooklyn, NY 11204-2702 | |
(718) 947-3045 | |
Not Available |
Full Name | Odette Spencer |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 6209 16th Ave, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205137023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F335890-1 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F403966-01 (New York) | Primary |
Entity Name | Wihd Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386714228 PECOS PAC ID: 7618917907 Enrollment ID: O20050505000813 |
Mailing Address | Practice Location Address |
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Odette Spencer, PMHNP 20 Hospital Oval West, Valhalla, NY 10595-1571 Ph: (914) 493-8150 | Odette Spencer, PMHNP 6209 16th Ave, Brooklyn, NY 11204-2702 Ph: (718) 947-3045 |
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