Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | SP017858 | PA |
NPI | 1093233892 |
---|---|
Provider Name | Michelle Parsons |
First Address | Carlisle, PA 17015-7694 |
Second Address | Carlisle, PA 17015-7694 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2017 |
Last Update Date | 15/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103619861 | (05) | PA |