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NPI Code Detail

MEDICARE: MRS. BECKY LOU PARKER NP-C

MEDICARE: MRS. BECKY LOU PARKER NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner50089999NC

General Provider Information

NPI Number : 1093131112
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BECKY LOU PARKER NP-C
Provider Business Mailing Address
First Line : 7809 SARDIS RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28270-2757
Country : US
Telephone Number : 704-364-4000
Fax Number : 704-364-4005
Provider Business Practice Location Address
First Line : 7809 SARDIS RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28270-2757
Country : US
Telephone Number : 704-364-4000
Fax Number : 704-364-4005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2014
Last Update Date : 04/05/2017

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