MEDICARE: BARBARA PARKER

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
1	163W00000X	Registered Nurse	RN61064790	WA

General Provider Information

NPI Number	:	1255280863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA PARKER

Provider Business Mailing Address
First Line	:	3527 SE NAVIGATION LN APT 101
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-2885
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3527 SE NAVIGATION LN APT 101
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-2885
Country	:	US
Telephone Number	:	925-759-0450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “ BARBARA PARKER ” Practice Location

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