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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRANDEA R SPARKS, AGPCNP

Active Sole Proprietor

BRANDEA R SPARKS, AGPCNP is a Primary Care Nurse Practitioner healthcare provider located in SUSQUEHANNA, Pennsylvania. NPI 1780066423 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · SUSQUEHANNA, PA

Registration Details

NPI Number
1780066423
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2015 (11.118412844184 yrs)
Last Updated
Jun 18, 2015
License
SP015005 (PA)
Sole Proprietor
Yes

Practice Information

Address
2872 TURNPIKE ST
SUSQUEHANNA, PA, 188472771
Browse PA providers · Browse ZIP 18847
Phone
5708533135
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.