Provider Demographics
NPI:1043604689
Name:ASPREA, JEAN
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:ASPREA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JEAN
Other - Middle Name:
Other - Last Name:GALARZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:105 HEMLOCK RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-9021
Mailing Address - Country:US
Mailing Address - Phone:570-534-3034
Mailing Address - Fax:
Practice Address - Street 1:105 HEMLOCK RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-9021
Practice Address - Country:US
Practice Address - Phone:570-534-3034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3193271164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse