Individual provider · Type 1 NPI

Alexandra Dare Spellman, RN

General Practice Registered Nurse · Fond Du Lac, WI

NPI number 1144547654 Active

Practice location

160 Hamilton Pl, Apt 2
Fond Du Lac, WI 54935-4062

Fax (920) 924-0120

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X156123-30 (WI)

General Practice Registered Nurse: Definition to come...

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About NPI 1144547654

Alexandra Dare Spellman, RN's National Provider Identifier is 1144547654, issued on Apr 23, 2010. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Apr 23, 2010.