National Provider Identifier

Krystle Dawn Spencer, RN

Krystle Dawn Spencer, RN is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Registered Nurse in Wellsville, NY and a listed phone number of (585) 593-6300.

NPI 1619709854Wellsville, NYPsychiatric/Mental Health Registered Nurse

Profile Overview

NPI
1619709854
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Registered Nurse
Enumeration Date
August 16, 2024
Last Updated
August 16, 2024

Practice Location

  • 4220 State Route 417 W
  • Wellsville, NY 14895-9332

Phone: (585) 593-6300

Mailing Address

  • 200 N Main St
  • Bolivar, NY 14715-1023

Specialties

  • Psychiatric/Mental Health Registered Nurse (163WP0808X)
Full Record
NPI
1619709854
Entity Type
Individual
Last Name
Spencer
First Name
Krystle
Middle Name
Dawn
Credential
RN
Mailing Street Address
200 N Main St
Mailing City
Bolivar
Mailing State
NY
Mailing ZIP Code
14715-1023
Mailing Country
US
Mailing Phone
(716) 904-0583
Practice Street Address
4220 State Route 417 W
Practice City
Wellsville
Practice State
NY
Practice ZIP Code
14895-9332
Practice Country
US
Practice Phone
(585) 593-6300
Enumeration Date
August 16, 2024
Last Updated
August 16, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
August 16, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Registered Nurse (163WP0808X)