Individual
AMY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
341 SPRUCE ST, MORGANTOWN, WV 26505-5504
(304) 292-8234
Mailing address
341 SPRUCE ST, MORGANTOWN, WV 26505-5504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20040009-22
WV
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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