Healthcare Provider Details

I. General information

NPI: 1528163722
Provider Name (Legal Business Name): NEILA PARRISH CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WALTER WARD BLVD STE 300
ABINGDON MD
21009-1286
US

IV. Provider business mailing address

728 SHALLOW RIDGE CT
ABINGDON MD
21009-3016
US

V. Phone/Fax

Practice location:
  • Phone: 410-777-8971
  • Fax: 877-595-7180
Mailing address:
  • Phone: 443-838-9006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP010880
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR108003
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License NumberR108003
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: