Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | RN60546404 | WA |
NPI | 1003404500 |
---|---|
Provider Name | Sherry Parker |
First Address | Seattle, WA 98106-1548 |
Second Address | Burien, WA 98166-3024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2021 |
Last Update Date | 10/01/2021 |