ALYSA MAREN SPARKMAN-MENDOZA NPI 1669983375

NPI Information

NPI: 1669983375
Provider Name: ALYSA MAREN SPARKMAN-MENDOZA
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1904 RICHLAND AVE
CERES, CA
ZIP 95307
Phone: (209) 300-8800
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Alysa Maren Sparkman-mendoza is a psychiatric/mental health registered nurse in Ceres, CA. Alysa Maren Sparkman-mendoza NPI is 1669983375. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1904 RICHLAND AVE
CERES, CA
ZIP 95307-562
Phone: (209) 300-8800

The enumeration date for this NPI number is 10/20/2017 and was last updated on 10/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	820878	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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