Individual
MARY ELLEN SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CBN, NC-BC
Contact information
Practice address
9705 RIDGECREST DR, HILLSBORO, MO 63050-3313
(314) 607-0611
Mailing address
9705 RIDGECREST DR, HILLSBORO, MO 63050-3313
(314) 607-0611
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
MO
364SH1100X
Holistic Clinical Nurse Specialist
152891
MO
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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