Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 3005484 | KY |
NPI | 1063684819 |
---|---|
Provider Name | Heather L. Parnell |
First Address | Bowling Green, KY 42101-1759 |
Second Address | Bowling Green, KY 42101-1759 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2008 |
Last Update Date | 10/09/2018 |