Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP3191932 | FL |
N | 363LP2300X | Nurse Practitioner - Primary Care | ARNP3191932 | FL |
N | 363LS0200X | School | ARNP3191932 | FL |
NPI | 1083726350 |
---|---|
Provider Name | Dr. Chandra R Parsley |
First Address | Arcadia, FL 34266-3387 |
Second Address | Arcadia, FL 34266-8923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 20/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
027924230 | (05) | FL |
Y01ES | BCBS PROVIDER NUMBER (01) | FL |