National Provider Identifier

Deanna Marie Spears, LPN

Deanna Marie Spears, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Walworth, NY and a listed phone number of (315) 986-3521.

NPI 1245552108Walworth, NYLicensed Practical Nurse

Profile Overview

NPI
1245552108
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 19, 2010
Last Updated
November 18, 2022

Practice Location

  • 1500 Dayspring Rdg
  • Walworth, NY 14568-9517

Phone: (315) 986-3521

Mailing Address

  • 966 Summitville Dr
  • Webster, NY 14580-4133

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1245552108
Entity Type
Individual
Last Name
Spears
First Name
Deanna
Middle Name
Marie
Name Prefix
MS.
Credential
LPN
Provider Other Last Name
Hendricks
Provider Other First Name
Deanna
Provider Other Middle Name
Marie
Provider Other Name Prefix Text
Mrs.
Provider Other Last Name Type Code
5
Mailing Street Address
966 Summitville Dr
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-4133
Mailing Country
US
Mailing Phone
(585) 278-4162
Practice Street Address
1500 Dayspring Rdg
Practice City
Walworth
Practice State
NY
Practice ZIP Code
14568-9517
Practice Country
US
Practice Phone
(315) 986-3521
Enumeration Date
February 19, 2010
Last Updated
November 18, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
November 18, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)