Individual
REBECCA O FEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 JOHN ROEMMELT DR, SUITE 300, HORSEHEADS, NY 14845-8301
(607) 739-8778
(607) 739-5893
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
336908
NY
363LF0000X
Family Nurse Practitioner
336908
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03360221
—
NY
Enumeration date
08/04/2011
Last updated
06/10/2016
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