Healthcare Provider Details

I. General information

NPI: 1588691075
Provider Name (Legal Business Name): MARIAN CHRISTINE PARSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 HOLLY STREET
SILOAM SPRINGS AR
72761
US

IV. Provider business mailing address

PO BOX 6430
SPRINGDALE AR
72766-6430
US

V. Phone/Fax

Practice location:
  • Phone: 479-750-2020
  • Fax: 479-524-5197
Mailing address:
  • Phone: 479-750-2020
  • Fax: 479-524-5197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR27912
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: