Susan R Sperry, FNP
Nurse Practitioner, Family in Pittsfield, MA. Individual provider (NPI-1).
NPI number1255463147
StatusActive
Last updated in NPPESApr 26, 2024
Details
- NPI
- 1255463147
- Entity type
- Individual (NPI-1)
- Name
- Susan R Sperry
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2007
- Certification date
- Apr 26, 2024
- Last updated
- Apr 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F331051-1 | NY | Yes |
| 363L00000X | Nurse Practitioner | RN157879 | MA |
Practice location
169 Valentine RdPittsfield, MA 01201-3042
Phone 413-445-2300
Mailing address
169 Valentine RdPittsfield, MA 01201-3042
Phone 413-445-2300
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