Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 26NJ00674000 | NJ |
NPI | 1013459684 |
---|---|
Provider Name | Shaindel Parnes |
First Address | Lakewood, NJ 08701-1251 |
Second Address | Lakewood, NJ 08701-1251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2016 |
Last Update Date | 21/02/2017 |