Provider Demographics
NPI:1487539565
Name:SPERRY, EVE ELIZEBETH
Entity type:Individual
Prefix:
First Name:EVE
Middle Name:ELIZEBETH
Last Name:SPERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 7TH AVE N
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102-4308
Mailing Address - Country:US
Mailing Address - Phone:623-281-9122
Mailing Address - Fax:
Practice Address - Street 1:1017 7TH AVE N
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102-4308
Practice Address - Country:US
Practice Address - Phone:623-281-9122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant