Healthcare Provider Details

I. General information

NPI: 1750199915
Provider Name (Legal Business Name): CHAD PARSLOW NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2024
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 BANDANA BLVD E STE 100
SAINT PAUL MN
55108-5109
US

IV. Provider business mailing address

326 KAREN DR APT 403
WOODBURY MN
55129-5561
US

V. Phone/Fax

Practice location:
  • Phone: 651-241-9700
  • Fax: 651-241-9787
Mailing address:
  • Phone: 651-399-3409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number12346
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: