Individual
BREEANN SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1421 N 7TH ST, TERRE HAUTE, IN 47807-1005
(812) 264-2443
Mailing address
8200 E AUDREY AVE, TERRE HAUTE, IN 47803-8030
(812) 239-4083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124772
IN
Other
Enumeration date
12/21/2018
Last updated
08/23/2021
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