MEDICARE: MR. NICHOLAS C PARKINSON FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WG0000X	General Practice Registered Nurse	1163663	KY
2	163WG0000X	General Practice Registered Nurse	RN.344160	OH
3	363LF0000X	Family Nurse Practitioner	3013540	KY
4	363LF0000X	Family Nurse Practitioner	APRN.CNP.17506	OH

General Provider Information

NPI Number	:	1093195638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NICHOLAS C PARKINSON FNP

Provider Business Mailing Address
First Line	:	7631 CHEVIOT RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-4012
Country	:	US
Telephone Number	:	513-923-1886
Fax Number	:	513-923-2878

Provider Business Practice Location Address
First Line	:	7631 CHEVIOT RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-4012
Country	:	US
Telephone Number	:	513-923-1886
Fax Number	:	513-923-2878

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2015
Last Update Date	:	01/13/2023

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