Doctor Name: | HOLLY L SPARROW |
NPI Number: | 1194089854 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1121121 |
Business Practice Address: | 331 S 3rd St Bardstown, KY - 400041032 |
Business Phone Number: | 2707652605 |
Business Fax Number: | 2702348572 |
Mailing Address: | 331 S 3rd St, BARDSTOWN |
State: | KY |
Postal Code: | 400041032 |
Phone Number: | 2707652605 |
Fax Number: | 2702348572 |
NPI Enumeration Date: | 06/27/2012 |
NPI Last Update Date: | 06/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 1121121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |