Doctor Name: | MRS. PATTI GREENING SPERLING |
NPI Number: | 1639147812 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | SP007911 |
Business Practice Address: | 8000 E. Hwy 212 Eagle Butte, SD - 57625 |
Business Phone Number: | 6059648000 |
Business Fax Number: | 6059641118 |
Mailing Address: | Po Box 860, EAGLE BUTTE |
State: | SD |
Postal Code: | 57625 |
Phone Number: | 6059648000 |
Fax Number: | 6059641118 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 06/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP007911 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |