Provider Demographics
NPI:1174122113
Name:SPINLER, CAROL
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:SPINLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 HUFFMAN AVE
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-3227
Mailing Address - Country:US
Mailing Address - Phone:406-564-9638
Mailing Address - Fax:
Practice Address - Street 1:312 HUFFMAN AVE
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-3227
Practice Address - Country:US
Practice Address - Phone:406-564-9638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT376J00000X
376J00000X
MT20767376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemaker