| Doctor Name: | MARY SPANGLER |
| NPI Number: | 1073519963 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R150276 |
| Business Practice Address: | 6095 Marshalee Dr Elkridge, MD - 210756053 |
| Business Phone Number: | 3013793500 |
| Business Fax Number: | |
| Mailing Address: | 7611 Donerail Ct, CHESAPEAKE BEACH |
| State: | MD |
| Postal Code: | 207324116 |
| Phone Number: | 3106533554 |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2005 |
| NPI Last Update Date: | 04/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | R150276 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |