Doctor Name: | STEPHEN LEE MEARS |
NPI Number: | 1265867055 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | R152305 |
Business Practice Address: | 4384 Crisfield Hwy Crisfield, MD - 218172550 |
Business Phone Number: | 4109681800 |
Business Fax Number: | 4109680305 |
Mailing Address: | Attention: Angie Rutkowski, 100 E. Carroll St. SALISBURY |
State: | MD |
Postal Code: | 218015422 |
Phone Number: | 4105437531 |
Fax Number: | 4109124972 |
NPI Enumeration Date: | 09/11/2013 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R152305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |