Provider Demographics
NPI:1033487368
Name:SPEIRS, PATRICIA ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:SPEIRS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 AZALEA RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-2300
Mailing Address - Country:US
Mailing Address - Phone:516-579-9033
Mailing Address - Fax:
Practice Address - Street 1:2116 MERRICK AVE
Practice Address - Street 2:SUITE 2002
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3457
Practice Address - Country:US
Practice Address - Phone:516-867-7042
Practice Address - Fax:516-379-0612
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY318722-1163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice