Individual
BROOKE RENAE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10718 BALLANTRAYE DR., FREDERICKSBURG, VA 22407
(540) 479-4204
Mailing address
9711 INKWOOD DR, FREDERICKSBURG, VA 22407-9344
(540) 419-9522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171738
VA
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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