Individual
SHARON L SPEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5010 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6804
(260) 436-1248
(260) 436-7968
Mailing address
5010 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6804
(260) 436-1248
(260) 436-7968
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71004075A
IN
363LA2200X
Adult Health Nurse Practitioner
71004075B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71004075
LICENSE
IN
Enumeration date
06/26/2013
Last updated
06/26/2013
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