Healthcare Provider Details

I. General information

NPI: 1285558981
Provider Name (Legal Business Name): SYDNEY MCKAY SPRAWLS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 W GAINES ST
MONTICELLO AR
71655-4637
US

IV. Provider business mailing address

533 W GAINES ST
MONTICELLO AR
71655-4637
US

V. Phone/Fax

Practice location:
  • Phone: 870-367-1125
  • Fax:
Mailing address:
  • Phone: 870-367-1125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: