Wells-Spicer, Laura

Wells-Spicer, Laura is an individual health care provider with primary practice located at 1200 Driving Park Ave , Newark NY 14513-1057. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wells-Spicer, Laura can be contacted via phone (315) 359-2123.

Contact Information

Primary practice address
1200 Driving Park Ave Newark NY 14513-1057
Phone: (315) 359-2123
Fax: (315) 359-2167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 301159 New York

Profile Details

NPI number 1255593570
LBN Legal business name Wells-Spicer, Laura
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated May 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255593570 NPPES
New York MEDICAID 03007063-NWK
New York MEDICAID 03490622
New York MEDICAID 01131126-RGH

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