Healthcare Provider Details
I. General information
NPI: 1750838199
Provider Name (Legal Business Name): MICHELLE SPARLING APRN, FNP-BC, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/01/2016
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
515 COURT ST
RENO NV
89501-1710
US
IV. Provider business mailing address
11885 CLAIM STAKE DR
RENO NV
89506-7540
US
V. Phone/Fax
- Phone: 775-410-0189
- Fax:
- Phone: 775-410-0189
- Fax: 775-339-0105
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2081H0002X |
| Taxonomy | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | APRN002324 |
| License Number State | NV |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0002X |
| Taxonomy | Hospice and Palliative Medicine (Internal Medicine) Physician |
| License Number | APRN002324 |
| License Number State | NV |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | ARNP002324 |
| License Number State | NV |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APRN002324 |
| License Number State | NV |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN002324 |
| License Number State | NV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: