National Provider Identifier

Sara Elizabeth Spencer, LPN

Sara Elizabeth Spencer, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ithaca, NY and a listed phone number of (607) 229-4305.

NPI 1043964620Ithaca, NYLicensed Practical Nurse

Profile Overview

NPI
1043964620
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 11, 2022
Last Updated
February 11, 2022

Practice Location

  • 371 N Applegate RD Apt 1
  • Ithaca, NY 14850-9262

Phone: (607) 229-4305

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1043964620
Entity Type
Individual
Last Name
Spencer
First Name
Sara
Middle Name
Elizabeth
Name Prefix
Miss
Credential
LPN
Mailing Street Address
371 N Applegate RD Apt 1
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9262
Mailing Country
US
Mailing Phone
(607) 229-4305
Practice Street Address
371 N Applegate RD Apt 1
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-9262
Practice Country
US
Practice Phone
(607) 229-4305
Enumeration Date
February 11, 2022
Last Updated
February 11, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
February 11, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)