Healthcare Provider Details

I. General information

NPI: 1891176665
Provider Name (Legal Business Name): FERRIN PARHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 07/08/2024
Certification Date: 07/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 LAUREL CHERRY LN
INDIANAPOLIS IN
46239-7617
US

IV. Provider business mailing address

3737 LAUREL CHERRY LN
INDIANAPOLIS IN
46239-7617
US

V. Phone/Fax

Practice location:
  • Phone: 317-507-4553
  • Fax:
Mailing address:
  • Phone: 317-507-4553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number374U00000X
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: