Provider Demographics
NPI:1053078287
Name:SPIERS, LORRAINE (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:
Last Name:SPIERS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 E BELL RD STE 2200
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2139
Mailing Address - Country:US
Mailing Address - Phone:602-633-3848
Mailing Address - Fax:602-633-3841
Practice Address - Street 1:2971 WILLOW CREEK RD # 3&4
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-4142
Practice Address - Country:US
Practice Address - Phone:928-277-8088
Practice Address - Fax:928-460-5280
Is Sole Proprietor?:No
Enumeration Date:2021-11-22
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30705363LF0000X
AZ279940363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ161263Medicaid
AZZ282138OtherMEDICARE