Individual
STEPHEN SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
10 HOMESTEAD LN, COCHRANVILLE, PA 19330-9642
(610) 406-2039
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
SP018367
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
8271370
ID
Other
Enumeration date
12/22/2017
Last updated
09/24/2025
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