Provider Demographics
NPI:1346430261
Name:SPEARS, KATHERINE POIRRIER (APRN)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:POIRRIER
Last Name:SPEARS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 N AVENUE L
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-3832
Mailing Address - Country:US
Mailing Address - Phone:337-788-3330
Mailing Address - Fax:337-788-4770
Practice Address - Street 1:1015 SAINT JOHN ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-6711
Practice Address - Country:US
Practice Address - Phone:337-269-5000
Practice Address - Fax:337-269-5001
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05206364SP0809X
LARN096944163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5DQ10Medicare UPIN
LA3A417Medicare UPIN