Provider Demographics
NPI:1265091292
Name:SPINGARN, EVA (MSN RN CPNP-AC CCRN)
Entity type:Individual
Prefix:MS
First Name:EVA
Middle Name:
Last Name:SPINGARN
Suffix:
Gender:F
Credentials:MSN RN CPNP-AC CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2406 PRIVET WAY
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-3135
Mailing Address - Country:US
Mailing Address - Phone:908-256-5551
Mailing Address - Fax:
Practice Address - Street 1:2406 PRIVET WAY
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-3135
Practice Address - Country:US
Practice Address - Phone:908-256-5551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00859900363LP0222X
NY382923363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care