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NPI Code Detail

MEDICARE: PAIGE SPARKS DNP, APRN, FNP-BC

MEDICARE: PAIGE SPARKS DNP, APRN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerC-RXN.0102706-C-NPCO
2363L00000XNurse Practitioner10050889OR
3363L00000XNurse Practitioner288970AZ
4363L00000XNurse Practitioner3-002559AL
5363L00000XNurse Practitioner86098NM
6363L00000XNurse Practitioner1195484TX
7363L00000XNurse PractitionerAPRN-5024HI
8363LF0000XFamily Nurse Practitioner14246863-4405UT
9363LF0000XFamily Nurse Practitioner288970AZ
10363LF0000XFamily Nurse PractitionerAP70055291WA

General Provider Information

NPI Number : 1982216594
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE SPARKS DNP, APRN, FNP-BC
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 16435 N SCOTTSDALE RD STE 285
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-1680
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2020
Last Update Date : 12/10/2025

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