Provider Demographics
NPI:1386247526
Name:SPHEERIS, LARISSA MAREK (FNP)
Entity type:Individual
Prefix:MRS
First Name:LARISSA
Middle Name:MAREK
Last Name:SPHEERIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16537 SOUTHWEST FWY
Mailing Address - Street 2:MOB 4 ST 500
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4210
Mailing Address - Country:US
Mailing Address - Phone:281-274-7595
Mailing Address - Fax:
Practice Address - Street 1:16537 SOUTHWEST FWY
Practice Address - Street 2:MOB 4 ST 500
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-274-7595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-19
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX832939163W00000X
TX1033658363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse