Healthcare Provider Details

I. General information

NPI: 1366538100
Provider Name (Legal Business Name): TERRY LYNN SPERLING ARNP,CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 9TH AVE NE
SEATTLE WA
98105-4737
US

IV. Provider business mailing address

5524 CANFIELD PL N
SEATTLE WA
98103-5920
US

V. Phone/Fax

Practice location:
  • Phone: 206-632-2498
  • Fax:
Mailing address:
  • Phone: 206-632-0796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAP300000690
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: