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NPI Code Detail

MEDICARE: NANCY G SPEAR

MEDICARE: NANCY G SPEAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN106229LPA
2367500000XCertified Registered Nurse Anesthetist132898LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN106229LOTHERPARN

General Provider Information

NPI Number : 1104835032
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY G SPEAR
Provider Business Mailing Address
First Line : 552 N NEVILLE ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15213-2855
Country : US
Telephone Number : 412-681-1932
Fax Number :
Provider Business Practice Location Address
First Line : 552 N NEVILLE ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15213-2855
Country : US
Telephone Number : 412-681-1932
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 11/02/2007

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Directions to “ NANCY G SPEAR ” Practice Location

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