Healthcare Provider Details

I. General information

NPI: 1932707502
Provider Name (Legal Business Name): CYNTHIA PARKER HEALTH EDUCATOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2020
Last Update Date: 09/18/2023
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 KEYSER AVE
NATCHITOCHES LA
71457-6247
US

IV. Provider business mailing address

948 WOODYARD DR
NATCHITOCHES LA
71457-5412
US

V. Phone/Fax

Practice location:
  • Phone: 318-352-9299
  • Fax:
Mailing address:
  • Phone: 318-415-9904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberOMC-LC107
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: