MEDICARE: PARKER HEALTHCARE CONSULTANTS PLLC

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

General Provider Information

NPI Number	:	1881309888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKER HEALTHCARE CONSULTANTS PLLC

Provider Business Mailing Address
First Line	:	9716 REA RD STE B
Second Line	:	#572
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-6790
Country	:	US
Telephone Number	:	315-677-1417
Fax Number	:

Provider Business Practice Location Address
First Line	:	4015 CLOUD VIEW LN
Second Line	:
City	:	INDIAN TRAIL
State	:	NC
Zip	:	28079-5612
Country	:	US
Telephone Number	:	315-677-1417
Fax Number	:

Authorized Official
Title or Position	:	APRN
Name	:	MRS. LEAH RENEE PARKER
Credential	:	NP
Telephone Number	:	315-677-1417

Provider Enumeration Date	:	01/16/2023
Last Update Date	:	01/16/2023

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