Sparks, John Ryan

Sparks, John Ryan is an individual health care provider with primary practice located at 13395 N Marana Main St , Marana AZ 85653-7008. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Sparks, John Ryan can be contacted via phone (520) 682-4111.

Contact Information

Primary practice address
13395 N Marana Main St Marana AZ 85653-7008
Phone: (520) 682-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN197580 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 233011 Arizona

Profile Details

NPI number 1891342424
LBN Legal business name Sparks, John Ryan
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2019
Last updated Jul 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891342424 NPPES
Arizona MEDICAID 590524

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