MEDICARE: DIANA Z PARRY NP

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	363LW0102X	Women's Health Nurse Practitioner	2543	CO

General Provider Information

NPI Number	:	1306968193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA Z PARRY NP

Provider Business Mailing Address
First Line	:	563 S XENON CT
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-2818
Country	:	US
Telephone Number	:	303-321-2255
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 UNIVERSITY BLVD
Second Line	:	SUITE 500
City	:	DENVER
State	:	CO
Zip	:	80206-4616
Country	:	US
Telephone Number	:	303-321-2255
Fax Number	:

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

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	07/08/2007

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