person
Mrs. Loretta Margaret Sparkman, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Roswell, New Mexico
NPI 1710250493

Loretta Margaret Sparkman is a Psychiatric/Mental Health Nurse Practitioner based in Roswell, NM and is specialized in Psychiatric/Mental Health. Loretta Margaret Sparkman practices in Roswell, NM and has the professional credentials of PMHNP-BC. The NPI Number for Loretta Margaret Sparkman is 1710250493 and holds a License No. CNP-02005 (New Mexico).

The current practice location address for Loretta Margaret Sparkman is 313 W Country Club Rd, Roswell, NM and can be reached out via phone at 866-559-8607 and via fax at 866-559-8607. You can also correspond with Loretta Margaret Sparkman through the mailing address at PO BOX 571, ROSWELL, NM - 88202-0571 (mailing address contact number: 866-559-8607).

Location: 313 W Country Club Rd, Roswell, NM, 88202-0571
person
Provider Profile Details
NPI Number
1710250493
Provider Name
Loretta Margaret Sparkman
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
313 W Country Club Rd, Roswell, NM, 88202-0571
Phone Number
866-559-8607
Fax Number
866-559-8607
Provider Enumeration Date
02/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NMA102670 01 NM MEDICARE NUMBER
000575565 05 NM
46-2684908 01 NM FEIN
institution
Provider Business Practice Location Address Details
Address
313 W Country Club Rd
City
State
Zip
88201-5804
Phone Number
866-559-8607
Fax Number
866-559-8607
person
Provider Business Mailing Address Details
Address
313 W Country Club Rd
City
State
Zip
88201-5804
Phone Number
866-559-8607
Fax Number
866-559-8607
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
CNP-02005 (New Mexico)
Definition
Definition to come...
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