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NPI 1427412683

NPI 1427412683 : CLARISSA ANNE SPERRING PMHNP : WEXFORD, PA

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General NPI Number Information
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    NPI Number           |    1427412683
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    Entity Type          |    Individual 
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    Provider Name        |    CLARISSA ANNE SPERRING PMHNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/13/2016
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    Last Update Date     |    05/13/2025
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Provider Practice Location Address
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    Address Line         |    117 VIP DR STE 310 
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    City                 |    WEXFORD
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    State                |    PA
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    Zip                  |    15090-6936
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    Country              |    US
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    Telephone            |    878-231-6919
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    645 PARFET ST 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80215-5574
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    Country              |    US
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    Telephone            |    303-275-7584
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    SP030375
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN635802
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN1618984
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    License Number State |    CO
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