MEDICARE: ALISA PARNELL

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	163W00000X	Registered Nurse	9506029	FL

General Provider Information

NPI Number	:	1194330001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISA PARNELL

Provider Business Mailing Address
First Line	:	3805 W ALABAMA ST APT 3306
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5237
Country	:	US
Telephone Number	:	330-203-7384
Fax Number	:

Provider Business Practice Location Address
First Line	:	3805 W ALABAMA ST APT 3306
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5237
Country	:	US
Telephone Number	:	330-203-7384
Fax Number	:

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

Provider Enumeration Date	:	09/09/2020
Last Update Date	:	09/09/2020

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Directions to “ ALISA PARNELL ” Practice Location

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