Individual
MRS. STARR NICOLE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-2032
(859) 323-5956
(859) 323-1080
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
103157
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
4017985
KY
Other
Enumeration date
06/27/2014
Last updated
06/28/2024
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