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Individual
STARLA MICHELLE SPARKS
Active
Individual
STARLA MICHELLE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3011326
KY
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020740
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0428403
—
OH
01
—
3011326
KY APRN LICENSE
KY
Enumeration date
05/11/2017
Last updated
08/02/2022
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