Paula Kay Kroll, STNA
Individual provider Active NPI Nurse's Aide · Minerva, OH
NPI 1285739433 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285739433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 375386470296 (OH)
- Practice address
- 2128 Leisure Rd NW
Minerva, OH 44657-8835 - Phone
- (330) 771-8241
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 375386470296 | OH | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 375386470296 | OH | Yes |
Addresses
Primary practice location
2128 Leisure Rd NW
Minerva, OH 44657-8835
Mailing address
2128 Leisure Rd NW
Minerva, OH 44657-8835
Phone (330) 771-8241
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375386470296 | Other | OH | STNA |
Other names
- Paula Kay Sparks
Other providers in Minerva, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.