Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | F342930 | NY |
Y | 363L00000X | Nurse Practitioner | F342930 | NY |
N | 363LF0000X | Nurse Practitioner - Family Medicine | F342930 | NY |
NPI | 1356981021 |
---|---|
Provider Name | Sharon Spears |
First Address | Horseheads, NY 14845-1403 |
Second Address | Horseheads, NY 14845-1403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2020 |
Last Update Date | 05/03/2021 |