Healthcare Provider Details

I. General information

NPI: 1710823380
Provider Name (Legal Business Name): MICHELLE M PARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1736 GAYLORD DR
AKRON OH
44320-1666
US

IV. Provider business mailing address

1736 GAYLORD DR
AKRON OH
44320-1666
US

V. Phone/Fax

Practice location:
  • Phone: 330-388-0061
  • Fax:
Mailing address:
  • Phone: 330-388-0061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: