Provider Demographics
NPI:1922751379
Name:SPEARS, ARIEL OLIVIA
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:OLIVIA
Last Name:SPEARS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 K ST NW APT 812
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3579
Mailing Address - Country:US
Mailing Address - Phone:202-725-3848
Mailing Address - Fax:
Practice Address - Street 1:5908 SOUTHERN AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-6553
Practice Address - Country:US
Practice Address - Phone:202-415-9930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant