Penny Sparks is a Family in Charlotte, North Carolina. Penny Sparks practices all healthcare services and medical treatments related to Family. The NPI Number for Penny Sparks is 1336282102. The last update date is 2007-07-08.
Penny Sparks's current location address is 9909 Providence Forest Ln, Charlotte, North Carolina. You can contact this provider via phone number 7048478099 and fax number 7043364709. The mailing address for Penny Sparks is 9909 Providence Forest Ln, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny Sparks |
|---|---|
| Address | 9909 Providence Forest Ln, Charlotte, North Carolina |
| Phone Number | 7048478099 |
| Fax Number | 7043364709 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1336282102 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9909 Providence Forest Ln |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282700216 |
| Phone Number | 7048478099 |
| Fax Number | 7043364709 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 200026 |
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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 |
|---|---|---|---|
| ZF0000071 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Penny Sparks by the Centers for Medicare & Medicaid Services?
The Penny Sparks has been assigned the NPI (National Provider Identifier) 1336282102 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Penny Sparks's facilities are geographically located?
The facilities of Penny Sparks are physically situated at the following location: 9909 Providence Forest Ln, Charlotte, NC, 282700216.
What is Penny Sparks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Penny Sparks is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did Penny Sparks receive its 1336282102 assignment from the Centers for Medicare & Medicaid Services?
The Penny Sparks was assigned its 1336282102 on 2007-02-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Penny Sparks, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Penny Sparks, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.