Individual
LAURA WELLS-SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1200 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2123
(315) 359-2167
Mailing address
1425 PORTLAND AVE, BOX 287, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301159
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131126-RGH
—
NY
05
—
03007063-NWK
—
NY
05
—
03490622
—
NY
Enumeration date
06/27/2008
Last updated
05/06/2021
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