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Tiffany Sparks
Licensed Practical Nurse in Ecorse, Michigan
NPI 1770070872

Tiffany Sparks is a Licensed Practical Nurse based in Ecorse, MI. Tiffany Sparks practices in Ecorse, MI. The NPI Number for Tiffany Sparks is 1770070872 and holds a License No. 4703110615 (Michigan).

The current practice location address for Tiffany Sparks is 4170 16Th St, Ecorse, MI and can be reached out via phone at 248-930-3374.

Location: 4170 16Th St, Ecorse, MI, 48229-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770070872
Provider Name
Tiffany Sparks
Credential
Provider Entity Type
Individual
Gender
Female
Address
4170 16Th St, Ecorse, MI, 48229-1239
Phone Number
248-930-3374
Fax Number
Provider Enumeration Date
04/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4170 16Th St
City
Ecorse
State
Michigan
Zip
48229-1239
Phone Number
248-930-3374
Fax Number
person
Provider Business Mailing Address Details
Address
4170 16Th St
City
Ecorse
State
Michigan
Zip
48229-1239
Phone Number
248-930-3374
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703110615 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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