Provider Demographics
NPI:1346475613
Name:SPEICHER, JOANNE E (NP)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:E
Last Name:SPEICHER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2359 SESSIONS HILL RD
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:NY
Mailing Address - Zip Code:13077-9462
Mailing Address - Country:US
Mailing Address - Phone:607-753-9946
Mailing Address - Fax:
Practice Address - Street 1:22-24 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:NY
Practice Address - Zip Code:13803-0448
Practice Address - Country:US
Practice Address - Phone:607-849-3271
Practice Address - Fax:607-849-6357
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY607074163W00000X
NY338793363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse