Provider Demographics
NPI:1720216468
Name:SPRIGGS, BERTHELINA F (RN)
Entity Type:Individual
Prefix:
First Name:BERTHELINA
Middle Name:F
Last Name:SPRIGGS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BERTHELINA
Other - Middle Name:F
Other - Last Name:SPRIGGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:7 AMANDA WAY
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960
Mailing Address - Country:US
Mailing Address - Phone:617-543-9091
Mailing Address - Fax:617-277-2814
Practice Address - Street 1:120 FISHER AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02120
Practice Address - Country:US
Practice Address - Phone:617-738-1500
Practice Address - Fax:617-277-2814
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA190180163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse