Tamala S. Sparks is a Family in Southside, Alabama. Tamala S. Sparks practices all healthcare services and medical treatments related to Family. The NPI Number for Tamala S. Sparks is 1265626691. The last update date is 2014-12-23.
Tamala S. Sparks's current location address is 3643 Lakefront Dr, Southside, Alabama. You can contact this provider via phone number 2566131101. The mailing address for Tamala S. Sparks is 3643 Lakefront Dr, Southside, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamala S. Sparks |
|---|---|
| Address | 3643 Lakefront Dr, Southside, Alabama |
| Phone Number | 2566131101 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1265626691 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2014-12-23 |
Provider Mailing Address Detail
| Address | 3643 Lakefront Dr |
|---|---|
| City | Southside |
| State | Alabama (AL) |
| Post Code | 359070540 |
| Phone Number | 2566131101 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 1-070362 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 165014 (ANNISTO | AL | -- | |
| 165246 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tamala S. Sparks by the Centers for Medicare & Medicaid Services?
The Tamala S. Sparks has been issued the NPI (National Provider Identifier) 1265626691, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tamala S. Sparks?
The Tamala S. Sparks is physically situated at 3643 Lakefront Dr, in the city of Southside, state of AL, with the postal code 359070540.
What is Tamala S. Sparks's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tamala S. Sparks's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265626691 to Tamala S. Sparks?
The Centers for Medicare & Medicaid Services originally issued the 1265626691 to Tamala S. Sparks on 2007-08-29.
As of what date was the information pertaining to Tamala S. Sparks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tamala S. Sparks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-12-23.