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

SHELLY RENAE SPARKS, NP

Active

SHELLY RENAE SPARKS, NP is a Gerontological Nurse Practitioner healthcare provider located in ANDERSON, Indiana. NPI 1962420109 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · ANDERSON, IN

Registration Details

NPI Number
1962420109
Provider Type
Individual
Gender
Female
NPI Issued
Jul 17, 2006 (20.033611935811 yrs)
Last Updated
May 26, 2021
License
71001150A (IN)

Practice Information

Address
1515 N MADISON AVE
ANDERSON, IN, 460113453
Browse IN providers · Browse ZIP 46011
Phone
3176214900
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in ANDERSON, IN

Name Credential NPI
MRS. TINA MARIE BAXTER GNP 1750570156
TESSA CECILE PALMER NP 1639594773
KRISTIN REEDY 1386004844
CASEY DETWILER NP 1982304077
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.