Provider Demographics
NPI:1053346478
Name:SPITZER, PATRICIA J (PA-C)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:J
Last Name:SPITZER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1500 S 48TH ST
Mailing Address - Street 2:SUITE 412
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1225
Mailing Address - Country:US
Mailing Address - Phone:402-489-4600
Mailing Address - Fax:402-489-5151
Practice Address - Street 1:1500 S 48TH ST
Practice Address - Street 2:SUITE 412
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1225
Practice Address - Country:US
Practice Address - Phone:402-489-4600
Practice Address - Fax:402-489-5151
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2010-07-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE569363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47078842713Medicaid
NE47078842713Medicaid