Emma Gwen Sperle, MSN, APRN, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Alpine, UT

NPI 1154917524 · NPPES record last updated Mar 13, 2024

Key facts

NPI
1154917524
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
0024189388 (VA)
Practice address
144 S Main St
Alpine, UT 84004-1666
Phone
(844) 692-9682
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
0024189388VAMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024189388 VA Yes

Addresses

Primary practice location

144 S Main St
Alpine, UT 84004-1666

Mailing address

786 Airman LN
Colorado Springs, CO 80921-4805
Phone (719) 651-7783

Other providers in Alpine, UT

All providers in Alpine, UT · Family Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.