Healthcare Provider Details

I. General information

NPI: 1376342766
Provider Name (Legal Business Name): LEAH KAY SPURIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 GREEN ST STE 205
GARDNER MA
01440-1377
US

IV. Provider business mailing address

PO BOX 550
TEMPLETON MA
01468-0550
US

V. Phone/Fax

Practice location:
  • Phone: 978-632-0800
  • Fax: 978-632-0833
Mailing address:
  • Phone: 978-895-0840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2279696
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: