Provider Demographics
NPI:1902299373
Name:SPINK, LIZABETH A (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LIZABETH
Middle Name:A
Last Name:SPINK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:LISA
Other - Middle Name:A
Other - Last Name:SPINK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:887 N KELLOGG AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-1119
Mailing Address - Country:US
Mailing Address - Phone:805-681-1096
Mailing Address - Fax:
Practice Address - Street 1:887 N KELLOGG AVE
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-1119
Practice Address - Country:US
Practice Address - Phone:805-681-1096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95001867363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily