Provider Demographics
NPI:1316507064
Name:SPEARS, CLAUDE OATHER (NP-C)
Entity type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:OATHER
Last Name:SPEARS
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13807 DOCTOR EDELEN DR
Mailing Address - Street 2:
Mailing Address - City:ACCOKEEK
Mailing Address - State:MD
Mailing Address - Zip Code:20607-3786
Mailing Address - Country:US
Mailing Address - Phone:571-235-4421
Mailing Address - Fax:
Practice Address - Street 1:13807 DOCTOR EDELEN DR
Practice Address - Street 2:
Practice Address - City:ACCOKEEK
Practice Address - State:MD
Practice Address - Zip Code:20607-3786
Practice Address - Country:US
Practice Address - Phone:571-235-4421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-15
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR226471363LF0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine