Shelly Renae Sparks in Anderson - Gerontology
Shelly Renae Sparks - NPI 1962420109
Shelly Renae Sparks is a Gerontology in Anderson, Indiana. Shelly Renae Sparks practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Shelly Renae Sparks is 1962420109. The last update date is 2021-05-26.
Shelly Renae Sparks's current location address is 1515 N Madison Ave, Anderson, Indiana. You can contact this provider via phone number 3176214900. The mailing address for Shelly Renae Sparks is 1515 N Madison Ave, Anderson, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly Renae Sparks |
|---|---|
| Address | 1515 N Madison Ave, Anderson, Indiana |
| Phone Number | 3176214900 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1962420109 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2021-05-26 |
Provider Mailing Address Detail
| Address | 1515 N Madison Ave |
|---|---|
| City | Anderson |
| State | Indiana (IN) |
| Post Code | 460113453 |
| Phone Number | 3176214900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 71001150A |
|
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200357660 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shelly Renae Sparks by the Centers for Medicare & Medicaid Services?
The Shelly Renae Sparks has been assigned the NPI (National Provider Identifier) 1962420109. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Shelly Renae Sparks is located?
The Shelly Renae Sparks is situated at the following address: 1515 N Madison Ave, Anderson, IN, 460113453.
What is Shelly Renae Sparks's area of expertise and its corresponding taxonomy classification?
The Shelly Renae Sparks's field of specialization is Gerontology, and it falls under the taxonomy code 363Lg0600X, which categorizes healthcare providers based on their areas of practice.
When did the Shelly Renae Sparks receive its 1962420109?
The Shelly Renae Sparks was issued its 1962420109 on 2006-07-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Shelly Renae Sparks last refreshed?
The information related to the Shelly Renae Sparks, including its address, specialty, and other relevant details, was last updated on 2021-05-26.