Healthcare Provider Details

I. General information

NPI: 1083543912
Provider Name (Legal Business Name): EMILY FAITH PARKS CPM, LM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 WHITE OAK DR STE 275
CHASKA MN
55318-2927
US

IV. Provider business mailing address

1580 WHITE OAK DR STE 275
CHASKA MN
55318-2927
US

V. Phone/Fax

Practice location:
  • Phone: 952-856-0071
  • Fax: 651-766-4303
Mailing address:
  • Phone: 952-856-0071
  • Fax: 651-766-4303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: