Provider Demographics
NPI:1134215593
Name:SCHEAR, NANCY K (APRN)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:K
Last Name:SCHEAR
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 1:1127 DRUID PARK AVE
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-5849
Mailing Address - Country:US
Mailing Address - Phone:706-738-0455
Mailing Address - Fax:706-738-8588
Practice Address - Street 1:1127 DRUID PARK AVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-5849
Practice Address - Country:US
Practice Address - Phone:706-738-0455
Practice Address - Fax:706-738-8588
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN074058 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA50BBJTHMedicare ID - Type Unspecified