Provider Demographics
NPI:1639147812
Name:SPERLING, PATTI GREENING (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:PATTI
Middle Name:GREENING
Last Name:SPERLING
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:PATTI
Other - Middle Name:MAI
Other - Last Name:SPERLING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1021 DARRINGTON DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8158
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:804 ENGLISH RD STE 100
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-6027
Practice Address - Country:US
Practice Address - Phone:252-443-3133
Practice Address - Fax:252-443-6726
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC211909363LF0000X, 363LF0000X
NC5002902363LF0000X, 363LF0000X
SD000760363LF0000X
GARN181207NP363LF0000X
AZAP4010364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY042MVOtherPATTI SPERLING ARNP LLC
FLP00214314OtherMEDICARE RAILROAD
FL306427100Medicaid
Y078GOtherBC/BS
SCNP2929Medicaid
SCNP2929Medicaid
FLAB718Medicare ID - Type UnspecifiedMEDICARE GROUP # FOR LLC