Healthcare Provider Details

I. General information

NPI: 1801226881
Provider Name (Legal Business Name): RHYS AARON PARKER CPNP-PC, FNP-BC APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2013
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 819 BOX 4373
FPO AE
09645-0044
US

IV. Provider business mailing address

PSC 819 BOX 18
FPO AE
09645-0001
US

V. Phone/Fax

Practice location:
  • Phone: 314-727-3524
  • Fax:
Mailing address:
  • Phone: 314-727-3524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number809444
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: