Individual
RILEY SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 MACARTHUR BLVD STE 305, MUNSTER, IN 46321-2920
(219) 703-2401
(219) 703-6687
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28232646A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011769A
IN
Other
Enumeration date
09/08/2021
Last updated
10/25/2021
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