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Individual

DR. NICHOLAS SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP

Contact information

Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(800) 841-4938
Mailing address
3200 SYCAMORE CT, STE 1B, COLUMBUS, IN 47203-1545
(812) 378-9027
(812) 378-1014

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28230169A
IN

Other

Enumeration date
05/29/2022
Last updated
06/06/2022
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