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NPI Code Detail

MEDICARE: RITA SPEARMAN

MEDICARE:   RITA  SPEARMAN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1265935142
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA SPEARMAN
Provider Business Mailing Address
First Line : 3151 SOARING GULLS DR UNIT 2170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-7044
Country : US
Telephone Number : 313-469-5162
Fax Number :
Provider Business Practice Location Address
First Line : 3151 SOARING GULLS DR UNIT 2170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-7044
Country : US
Telephone Number : 313-469-5162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2018
Last Update Date : 03/16/2018

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Directions to “ RITA SPEARMAN ” Practice Location

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