Individual
GERALDINE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4110 WARRENSVILLE CENTER RD, WARRENSVILLE HEIGHTS, OH 44122-7024
(216) 491-7483
(216) 491-6549
Mailing address
4110 WARRENSVILLE CENTER RD, BEACHWOOD, OH 44122-7024
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN197164
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2734018
—
OH
Enumeration date
02/22/2007
Last updated
04/27/2010
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