Healthcare Provider Details

I. General information

NPI: 1356993299
Provider Name (Legal Business Name): CHRISTINA NICOLE PARNELLA AUD, CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA NICOLE DOWNS AUD, CCC-A

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 MITCHELLVILLE RD STE A414
BOWIE MD
20716-3142
US

IV. Provider business mailing address

131 MAIN ST STE 202
PRINCE FREDERICK MD
20678-3341
US

V. Phone/Fax

Practice location:
  • Phone: 301-860-0985
  • Fax: 301-860-0978
Mailing address:
  • Phone: 410-535-6975
  • Fax: 410-535-6915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number01485
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: