Healthcare Provider Details

I. General information

NPI: 1295231306
Provider Name (Legal Business Name): HANNAH PARKER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH PARKER

II. Dates (important events)

Enumeration Date: 04/05/2018
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 GLACIER AVE
JUNEAU AK
99801-1430
US

IV. Provider business mailing address

3260 HOSPITAL DR
JUNEAU AK
99801-7808
US

V. Phone/Fax

Practice location:
  • Phone: 907-586-1542
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number246773
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20A19023
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: