Individual
ELIZABETH SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5049 LONZO DR, COLORADO SPRINGS, CO 80924-5352
(719) 205-9895
Mailing address
5049 LONZO DR, COLORADO SPRINGS, CO 80924-5352
(719) 205-9895
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.1000220-NP
CO
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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