Provider Demographics
NPI:1629013545
Name:SPERLING, SANDRA I (CNS, APRN)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:I
Last Name:SPERLING
Suffix:
Gender:F
Credentials:CNS, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9120 CONNECTICUT ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-7014
Mailing Address - Country:US
Mailing Address - Phone:219-793-1233
Mailing Address - Fax:219-793-1234
Practice Address - Street 1:9120 CONNECTICUT ST
Practice Address - Street 2:SUITE A
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7014
Practice Address - Country:US
Practice Address - Phone:219-793-1233
Practice Address - Fax:219-793-1234
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN70000184A363LP0808X, 364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health