National Provider Identifier

Susannah Cooper Spero, MSN, APRN, FNP-C

Susannah Cooper Spero, MSN, APRN, FNP-C is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 255-5155.

NPI 1649755190Ithaca, NYNurse Practitioner

Profile Overview

NPI
1649755190
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
October 01, 2018
Last Updated
July 02, 2021

Practice Location

  • 110 Ho Plz
  • Ithaca, NY 14853-3102

Phone: (607) 255-5155

Specialties

  • Nurse Practitioner (363L00000X)
  • Family Nurse Practitioner (363LF0000X)
  • General Practice Registered Nurse (163WG0000X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1649755190
Entity Type
Individual
Last Name
Spero
First Name
Susannah
Middle Name
Cooper
Credential
MSN, APRN, FNP-C
Mailing Street Address
110 Ho Plz
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14853-3102
Mailing Country
US
Practice Street Address
110 Ho Plz
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14853-3102
Practice Country
US
Practice Phone
(607) 255-5155
Enumeration Date
October 01, 2018
Last Updated
July 02, 2021
Sex
Female
Sole Proprietor
No
Certification Date
July 02, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X), Family Nurse Practitioner (363LF0000X), General Practice Registered Nurse (163WG0000X), Registered Nurse (163W00000X)