Basic Information
| Provider Information | |||||||||
| NPI: | 1780115048 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SPEARING | ||||||||
| FirstName: | CASIE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 312 7TH AVE N | ||||||||
| Address2: | |||||||||
| City: | TWIN FALLS | ||||||||
| State: | ID | ||||||||
| PostalCode: | 833015951 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2082120949 | ||||||||
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| Practice Location | |||||||||
| Address1: | 775 POLE LINE RD W | ||||||||
| Address2: | #112 | ||||||||
| City: | TWIN FALLS | ||||||||
| State: | ID | ||||||||
| PostalCode: | 833015814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2088148200 | ||||||||
| FaxNumber: | 2089334921 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2017 | ||||||||
| LastUpdateDate: | 06/27/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 39137 | ID | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.