Individual
ELIZABETH GRACE SPEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2366
(215) 349-8235
Mailing address
3400 SPRUCE STREET, 3 RAVDIN BLDG. STE F, PHILADELPHIA, PA 19104-4206
(215) 662-3202
(215) 349-8432
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP020542
PA
Other
Enumeration date
03/14/2022
Last updated
06/21/2022
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