Healthcare Provider Details

I. General information

NPI: 1063639177
Provider Name (Legal Business Name): MARCIA RISER PARKER MSN, APRN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 HALL ST
MONROE LA
71201-7531
US

IV. Provider business mailing address

500 HALL ST
MONROE LA
71201-7531
US

V. Phone/Fax

Practice location:
  • Phone: 318-966-7337
  • Fax: 318-966-7328
Mailing address:
  • Phone: 318-966-7337
  • Fax: 318-966-7328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP04950
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: