MEDICARE: MS. PATRICE PARMS

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	247200000X	Other Technician	21-8162	MD

General Provider Information

NPI Number	:	1134896616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICE PARMS

Provider Business Mailing Address
First Line	:	6936 MYERSVIEW DR
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-1368
Country	:	US
Telephone Number	:	443-560-5386
Fax Number	:

Provider Business Practice Location Address
First Line	:	6936 MYERSVIEW DR
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-1368
Country	:	US
Telephone Number	:	443-560-5386
Fax Number	:

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

Provider Enumeration Date	:	08/24/2021
Last Update Date	:	08/24/2021

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Directions to “ MS. PATRICE PARMS ” Practice Location

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