Provider Demographics
NPI:1336380237
Name:SPEARS, JOANIE (LPN)
Entity Type:Individual
Prefix:
First Name:JOANIE
Middle Name:
Last Name:SPEARS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 E HARVARD AVE
Mailing Address - Street 2:H105
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-3719
Mailing Address - Country:US
Mailing Address - Phone:970-712-0668
Mailing Address - Fax:
Practice Address - Street 1:7400 E HARVARD AVE
Practice Address - Street 2:H105
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-3719
Practice Address - Country:US
Practice Address - Phone:970-712-0668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42669164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse