Provider Demographics
NPI:1437300381
Name:SPARATTA, SANDRA M (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:M
Last Name:SPARATTA
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1403
Mailing Address - Country:US
Mailing Address - Phone:908-751-1684
Mailing Address - Fax:
Practice Address - Street 1:33 BROAD ST
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1403
Practice Address - Country:US
Practice Address - Phone:908-751-1684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26N011089400163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse