Provider Demographics
NPI:1871728311
Name:SPERIN, ELAINE (LPN)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:SPERIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1841 CLIFTON RD NE
Mailing Address - Street 2:SUITE 502
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-4021
Mailing Address - Country:US
Mailing Address - Phone:404-728-4786
Mailing Address - Fax:404-728-4887
Practice Address - Street 1:1841 CLIFTON RD NE
Practice Address - Street 2:SUITE 502
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-4021
Practice Address - Country:US
Practice Address - Phone:404-728-4786
Practice Address - Fax:404-728-4887
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN046917164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse