Provider Demographics
NPI:1285003814
Name:SPEAR, REBECCA ANNE (DNP, ARNP, AGNP-C)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANNE
Last Name:SPEAR
Suffix:
Gender:F
Credentials:DNP, ARNP, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 REDWOOD BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-3247
Mailing Address - Country:US
Mailing Address - Phone:415-893-4800
Mailing Address - Fax:
Practice Address - Street 1:270 PERKINS ST
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6955
Practice Address - Country:US
Practice Address - Phone:707-938-3131
Practice Address - Fax:707-938-3678
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-24
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95005718363LP2300X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty