Individual
CERISSA SPERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
545 VITALITY DR STE 100A, FORTVILLE, IN 46040-1373
(317) 621-9220
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28193326A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009281A
IN
Other
Enumeration date
08/14/2019
Last updated
11/27/2023
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