Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 1011 | MN |
NPI | 1073606398 |
---|---|
Provider Name | Joy Christine Parker |
First Address | Sauk Rapids, MN 56379-2026 |
Second Address | Sauk Rapids, MN 56379-2026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2006 |
Last Update Date | 08/07/2007 |