Provider Demographics
NPI:1255566188
Name:SPEAR, TAMYRA J (RN)
Entity type:Individual
Prefix:
First Name:TAMYRA
Middle Name:J
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 1:1917 BONO RD
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-4607
Mailing Address - Country:US
Mailing Address - Phone:812-948-4726
Mailing Address - Fax:812-948-2208
Practice Address - Street 1:1917 BONO RD
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4607
Practice Address - Country:US
Practice Address - Phone:812-948-4726
Practice Address - Fax:812-948-2208
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28126265A163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health