Organization
SPARKS HEALTHCARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E SPARKS CRNP (CRNP/OWNER)
(205) 442-6541
Entity
Organization
Contact information
Practice address
3503 MEMORIAL PKWY NW STE D, HUNTSVILLE, AL 35810-2445
(205) 442-6541
Mailing address
3503 MEMORIAL PKWY NW STE D, HUNTSVILLE, AL 35810-2445
(205) 442-6541
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
02/03/2022
Last updated
05/26/2022
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