Provider Demographics
NPI:1134267248
Name:SPEAR, BECKY L (RN)
Entity type:Individual
Prefix:
First Name:BECKY
Middle Name:L
Last Name:SPEAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-3145
Mailing Address - Country:US
Mailing Address - Phone:907-451-7100
Mailing Address - Fax:907-451-7168
Practice Address - Street 1:222 FRONT ST
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-3145
Practice Address - Country:US
Practice Address - Phone:907-451-7100
Practice Address - Fax:907-451-7168
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKNUR R 4025163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management