Provider Demographics
NPI:1235280041
Name:SPIERS, SUSAN JANINE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:JANINE
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 1:9159 N COUNTY RD 25A
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356
Mailing Address - Country:US
Mailing Address - Phone:937-773-8221
Mailing Address - Fax:937-773-5117
Practice Address - Street 1:9159 N COUNTY RD 25A
Practice Address - Street 2:PIQUA FAMILY PRACTICE INC
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356
Practice Address - Country:US
Practice Address - Phone:937-773-8221
Practice Address - Fax:937-773-5117
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP09038RN223748363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner