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NPI Code Detail

MEDICARE: TANIKA E. PARNELL NP

MEDICARE:   TANIKA E. PARNELL  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
1163W00000XRegistered NurseRN762495CA
2363L00000XNurse PractitionerNP95013165CA

General Provider Information

NPI Number : 1679121750
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANIKA E. PARNELL NP
Provider Business Mailing Address
First Line : 3020 CHILDRENS WAY # MC5003
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4223
Country : US
Telephone Number : 858-309-6300
Fax Number :
Provider Business Practice Location Address
First Line : 12036 SCRIPPS HIGHLANDS DR STE 102
Second Line :
City : SAN DIEGO
State : CA
Zip : 92131-5155
Country : US
Telephone Number : 858-566-4444
Fax Number : 858-566-3321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2019
Last Update Date : 12/14/2021

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