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NPI Code Detail

MEDICARE: NATALIE NICOLE PARKER RN

MEDICARE:   NATALIE NICOLE PARKER  RN
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
1163W00000XRegistered Nurse784109CA

General Provider Information

NPI Number : 1184045510
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE NICOLE PARKER RN
Provider Business Mailing Address
First Line : 1825 EL PASO AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93611-6658
Country : US
Telephone Number : 434-962-0454
Fax Number :
Provider Business Practice Location Address
First Line : 1825 EL PASO AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93611-6658
Country : US
Telephone Number : 434-962-0454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2014
Last Update Date : 01/03/2014

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Directions to “ NATALIE NICOLE PARKER RN” Practice Location

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