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General NPI Number Information
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NPI Number | 1972258671
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Entity Type | Individual
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Provider Name | COURTNEY L PARKER NP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 08/12/2023
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Provider Practice Location Address
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Address Line | 2851 N WHITE PINES DR
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City | COEUR D ALENE
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State | ID
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Zip | 83815-6259
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Country | US
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Telephone | 702-443-2442
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Fax |
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Provider Business Mailing Address
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Address Line | 206 W IRONWOOD DR # 1030
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2640
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Country | US
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Telephone | 509-361-5154
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10013293
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 73849
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61350441
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License Number State | WA
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