=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588625081
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROBERT M PARSONS CNP
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/01/2006
-----------------------------------------------------
Last Update Date | 04/27/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1207 W STATE ST STE M
-----------------------------------------------------
City | ALLIANCE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44601-4686
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-821-8407
-----------------------------------------------------
Fax | 330-821-8506
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 625 CLEVELAND AVE NW
-----------------------------------------------------
City | CANTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44702-1805
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-455-0374
-----------------------------------------------------
Fax | 330-455-2101
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | APRN.CNP.04144
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------