Healthcare Provider Details

I. General information

NPI: 1295056430
Provider Name (Legal Business Name): NADIA ROXANNE PARCHMENT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2010
Last Update Date: 12/18/2023
Certification Date: 12/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9315 FIELDSTONE LN
NAPLES FL
34120-5225
US

IV. Provider business mailing address

9315 FIELDSTONE LN
NAPLES FL
34120-5225
US

V. Phone/Fax

Practice location:
  • Phone: 239-595-2407
  • Fax:
Mailing address:
  • Phone: 239-595-2407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301097096
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301097096
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: