| Mrs Nicole Lisa Sparks, PA-C | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 423-5013 | |
| Not Available |
| Full Name | Mrs Nicole Lisa Sparks |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 101 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093203697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nicole Lisa Sparks, PA-C 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3000 | Mrs Nicole Lisa Sparks, PA-C 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5013 |
Susana Quezada Awad, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 60 Mdg/hcos, 101 Bodic Cir, Travis Afb, CA 94535 Phone: 707-423-3964 | |
Heidi Lynn Shelstad, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Austin Ryder Podratz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 | |
Shawn M Hannah, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/sgcs, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-3216 | |
Nicole R Girimonte, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5131 | |
Christopher Hu, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3731 |