Individual provider · Type 1 NPI

Spencer Gines

Nurse Practitioner · Waterford, MI

NPI number 1821776576 Active

Practice location

279 Summit Dr
Waterford, MI 48328-3364

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X343934 (AZ)
General Practice Registered Nurse 163WG0000X4704398546 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1821776576

Spencer Gines's National Provider Identifier is 1821776576, issued on Jul 11, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waterford, MI. The record was last updated on Sep 11, 2026.