Healthcare Provider Details

I. General information

NPI: 1427412683
Provider Name (Legal Business Name): CLARISSA ANNE SPERRING PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2016
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 VIP DR STE 310
WEXFORD PA
15090-6936
US

IV. Provider business mailing address

645 PARFET ST
LAKEWOOD CO
80215-5574
US

V. Phone/Fax

Practice location:
  • Phone: 878-231-6919
  • Fax:
Mailing address:
  • Phone: 303-275-7584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP030375
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN635802
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1618984
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: