Individual
MARY ELAINE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3503 MEMORIAL PKWY NW STE D, HUNTSVILLE, AL 35810-2445
(256) 945-7190
(256) 562-8700
Mailing address
3503 MEMORIAL PKWY NW STE D, HUNTSVILLE, AL 35810-2445
(256) 945-7190
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-145441
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
2020003093
AL
Other
Enumeration date
12/11/2020
Last updated
10/24/2024
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