Stacy Spears is a Family in Broken Arrow, Oklahoma. Stacy Spears practices all healthcare services and medical treatments related to Family. The NPI Number for Stacy Spears is 1770572091. The last update date is 2019-04-16.
Stacy Spears's current location address is 2021 S Elm Pl, Broken Arrow, Oklahoma. You can contact this provider via phone number 9188066461 and fax number 9188066710. The mailing address for Stacy Spears is 2021 S Elm Pl, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Spears |
|---|---|
| Address | 2021 S Elm Pl, Broken Arrow, Oklahoma |
| Phone Number | 9188066461 |
| Fax Number | 9188066710 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1770572091 |
|---|---|
| Provider Enumeration Date | 2005-10-19 |
| Last Updated Date | 2019-04-16 |
Provider Mailing Address Detail
| Address | 2021 S Elm Pl |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740127031 |
| Phone Number | 9188066461 |
| Fax Number | 9188066710 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R0059224 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200045970A | OK | -- |
Post Comment/ Review Below
What is the Stacy Spears's unique identification number?
The Stacy Spears has been assigned the NPI (National Provider Identifier) Number 1770572091 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Stacy Spears's facilities are geographically located?
The facilities of Stacy Spears are physically situated at the following location: 2021 S Elm Pl, Broken Arrow, OK, 740127031.
What is Stacy Spears's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacy Spears is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Stacy Spears receive its 1770572091 assignment from the Centers for Medicare & Medicaid Services?
The Stacy Spears was assigned its 1770572091 by the Centers for Medicare & Medicaid Services on 2005-10-19.
When was the information regarding Stacy Spears, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stacy Spears, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-04-16.