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NPI Code Detail

MEDICARE: MARRISSA LYNN PARHAM STNA

MEDICARE:   MARRISSA LYNN PARHAM  STNA
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
1164W00000XLicensed Practical NurseLPN187747OH

General Provider Information

NPI Number : 1598303893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARRISSA LYNN PARHAM STNA
Provider Business Mailing Address
First Line : 1237 GILSEY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45205-1401
Country : US
Telephone Number : 513-227-9721
Fax Number :
Provider Business Practice Location Address
First Line : 1237 GILSEY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45205-1401
Country : US
Telephone Number : 513-227-9721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2019
Last Update Date : 03/19/2024

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Directions to “ MARRISSA LYNN PARHAM STNA” Practice Location

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