Individual
COREY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.021082
OH
Other
Enumeration date
06/24/2017
Last updated
06/24/2017
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