Provider Demographics
NPI:1972760767
Name:SPERA, ERIN ELIZABETH (RN,MS,CPNP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ELIZABETH
Last Name:SPERA
Suffix:
Gender:F
Credentials:RN,MS,CPNP
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Other - First Name:
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Mailing Address - Street 1:300 LONGWOOD AVE
Mailing Address - Street 2:FEGAN 3 ROOM 333
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:617-355-5226
Mailing Address - Fax:617-730-0752
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:FEGAN 3 ROOM 333
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-5226
Practice Address - Fax:617-730-0752
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA237213363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics