Organization
SPARKMAN BEHAVIORAL HEALTH, P. C.
Active
Other names
Loretta M Sparkman
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA MARGARET SPARKMAN PMHNP-BC (PRESIDENT)
(575) 626-1493
Entity
Organization
Contact information
Practice address
313 W COUNTRY CLUB RD, SUITE 5, ROSWELL, NM 88201-5804
(866) 559-8607
(866) 559-8607
Mailing address
PO BOX 571, ROSWELL, NM 88202-0571
(866) 559-8607
(866) 559-8607
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-02005
NM
Other
Enumeration date
05/23/2013
Last updated
06/20/2018
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