# SPEROVUE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154089415
- **Authorized official:** DR. RYAN MANWARING DNP, APRN, PMHNP-BC (CEO)
- **Authorized official phone:** (208) 615-9400

## Contact information

- **Practice address:** 784 S CLEARWATER LOOP STE D, POST FALLS, ID 83854-9599
- **Practice address phone:** (208) 615-9400
- **Mailing address:** 1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
- **Mailing address phone:** (208) 615-6400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2021
- **Last updated:** 12/21/2021