NATHAN TODD SPARKS

TWIN FALLS, ID
NPI1710669874
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  59825)
Enumeration Date2023-08-07
Last Update Date2023-09-11
Business Address
Mr. NATHAN TODD SPARKS FNP-BC
414 SHOUP AVE W STE B
TWIN FALLS, ID 83301-5027
Phone number: 208-814-9100
Mailing Address
Mr. NATHAN TODD SPARKS FNP-BC
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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