Provider Demographics
NPI:1306244421
Name:SPENOS, NORA JEAN (ANP-C)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:JEAN
Last Name:SPENOS
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:NORA
Other - Middle Name:JEAN
Other - Last Name:SARICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:30 W RAMPART ST STE 230
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-8897
Mailing Address - Country:US
Mailing Address - Phone:317-705-2000
Mailing Address - Fax:
Practice Address - Street 1:2451 INTELLIPLEX DR STE 250
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-8581
Practice Address - Country:US
Practice Address - Phone:317-705-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INAG1114009363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health