Provider Demographics
NPI:1154840080
Name:SPERANGER, THOMAS JOSEPH (CRNP)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:JOSEPH
Last Name:SPERANGER
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:THOMAS
Other - Middle Name:JOSEPH
Other - Last Name:SHLUGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1456 FERRY RD UNIT 400
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2391
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1456 FERRY RD UNIT 400
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2391
Practice Address - Country:US
Practice Address - Phone:267-880-6350
Practice Address - Fax:267-880-6592
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN668435163W00000X
PASP018206363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse