MEDICARE: DENISE 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	251E00000X	Home Health Agency	19-014793-1	IN

General Provider Information

NPI Number	:	1720723265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE PARKER

Provider Business Mailing Address
First Line	:	4420 PEPPERIDGE CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-1238
Country	:	US
Telephone Number	:	317-331-0750
Fax Number	:

Provider Business Practice Location Address
First Line	:	4420 PEPPERIDGE CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-1238
Country	:	US
Telephone Number	:	317-331-0750
Fax Number	:

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

Provider Enumeration Date	:	04/29/2022
Last Update Date	:	03/24/2026

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Directions to “ DENISE PARKER ” Practice Location

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