Carolyn Spahn

Individual provider Active NPI Registered Nurse · Winterhaven, CA

NPI 1184848459 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1184848459
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN136641 (AZ)
Practice address
One Indian Hill Road
Winterhaven, CA 92283
Phone
(760) 572-4147
Fax
(760) 572-4153
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN136641AZMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN136641 AZ Yes

Addresses

Primary practice location

One Indian Hill Road
Winterhaven, CA 92283

Mailing address

PO Box 1368
Yuma, AZ 85366-1368
Phone (760) 572-4147

Other providers in Winterhaven, CA

All providers in Winterhaven, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.