Individual
STEPHANIE LINN SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
444 E POLK ST, WASHINGTON, IA 52353-1237
(319) 653-6601
Mailing address
444 E POLK ST, WASHINGTON, IA 52353-1237
(319) 653-6601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
105071
IA
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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