MEDICARE: MRS. MARGARET ANN PARKER FNP

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	363LF0000X	Family Nurse Practitioner	377034	CA

General Provider Information

NPI Number	:	1306813779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET ANN PARKER FNP

Provider Business Mailing Address
First Line	:	200 N EL CAMINO REAL SPC 336
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92058-0823
Country	:	US
Telephone Number	:	916-548-5206
Fax Number	:

Provider Business Practice Location Address
First Line	:	1106 WINDFIELD WAY STE 2
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-9360
Country	:	US
Telephone Number	:	916-941-6500
Fax Number	:	916-404-6022

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

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	02/21/2018

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