Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 3181 | CO |
N | 103T00000X | Psychologist | 3181 | CO |
N | 363LG0600X | Nurse Practitioner - Gerontology | RN0176659 | CO |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | RN0176659 | CO |
NPI | 1043414733 |
---|---|
Provider Name | Ms. Cynthia E Parker |
First Address | Breckenridge, CO 80424-4660 |
Second Address | Frisco, CO 80443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 09/08/2013 |