Individual provider · Type 1 NPI
Lisa Spero, CNP
Family Nurse Practitioner · Penasco, NM
NPI number
1528604303
Active
Practice location
201 Pueblo View
Penasco, NM 87553
Fax (833) 438-5215
Mailing address
PO Box 755
Arroyo Seco, NM 87514-0755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 59011 (NM) |
| Family Nurse Practitioner Primary | 363LF0000X | 59011 (NM) |
Family Nurse Practitioner: Definition to come...
About NPI 1528604303
Lisa Spero, CNP's National Provider Identifier is 1528604303, issued on Nov 27, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Penasco, NM. The record was last updated on Apr 22, 2025.