Individual
ELECTISA SPEARS-HOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5019 W NORTH AVE STE 210, MILWAUKEE, WI 53208-1121
(414) 585-0173
(414) 239-8166
Mailing address
4722 N 73RD ST, MILWAUKEE, WI 53218-4713
(414) 588-1337
(414) 239-8166
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
165192
WI
163WH0200X
Home Health Registered Nurse
165192
WI
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079511
—
WI
Enumeration date
08/06/2018
Last updated
08/06/2018
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