Organization
SPARKS PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWATOYIN ISEYEMI DNP (OWNER)
(480) 388-2400
Entity
Organization
Contact information
Practice address
15331 W BELL RD STE 212, SURPRISE, AZ 85374-4104
(480) 388-2400
(346) 250-4317
Mailing address
9898 BISSONNET ST STE 200, HOUSTON, TX 77036-8025
(713) 227-7275
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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