Provider Demographics
NPI:1194333690
Name:SPARR, DAWN (APRN)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:SPARR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1939 COUNTY ROAD 795
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-9223
Mailing Address - Country:US
Mailing Address - Phone:419-651-9130
Mailing Address - Fax:
Practice Address - Street 1:1939 COUNTY ROAD 795
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-9223
Practice Address - Country:US
Practice Address - Phone:419-651-9130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0027024363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care