Individual
MR. SUSAN JOANN SPEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3400 N WOODS LN, ROGERS, AR 72756-6712
(479) 636-3190
(479) 636-4587
Mailing address
3400 N WOODS LN, ROGERS, AR 72756-6712
(479) 636-3190
(479) 636-4587
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R084531
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R084531
RN LICENSE
AR
Enumeration date
12/17/2019
Last updated
12/17/2019
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