Provider Demographics
NPI:1184337024
Name:SPENCER, MILAIDI (RN)
Entity type:Individual
Prefix:
First Name:MILAIDI
Middle Name:
Last Name:SPENCER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13360 TWINWOOD LN APT 2203
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-5569
Mailing Address - Country:US
Mailing Address - Phone:347-898-8021
Mailing Address - Fax:
Practice Address - Street 1:13360 TWINWOOD LN APT 2203
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-5569
Practice Address - Country:US
Practice Address - Phone:347-898-8021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9598742163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty