Provider Demographics
NPI:1457527822
Name:SPARKS, CINDY ANN (RN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:ANN
Last Name:SPARKS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19353 BAGLEY RD
Mailing Address - Street 2:B304
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3319
Mailing Address - Country:US
Mailing Address - Phone:440-239-8101
Mailing Address - Fax:440-239-8101
Practice Address - Street 1:19353 BAGLEY RD
Practice Address - Street 2:B304
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3319
Practice Address - Country:US
Practice Address - Phone:440-239-8101
Practice Address - Fax:440-239-8101
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN201094163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency