Individual
MELANIE R. SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4123 DUTCHMANS LN STE 606, LOUISVILLE, KY 40207-4725
(502) 896-2500
(502) 896-2527
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1-137076
AL
363LN0000X
Neonatal Nurse Practitioner
28194201
IN
363LN0000X
Neonatal Nurse Practitioner
71003486
IN
Other
Enumeration date
01/10/2011
Last updated
11/18/2024
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