1740208156 NPI number — MS. BARBARA LOUISE PARKER CNM FNP

Table of content: MS. BARBARA LOUISE PARKER CNM FNP (NPI 1740208156)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740208156 NPI number — MS. BARBARA LOUISE PARKER CNM FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARKER
Provider First Name:
BARBARA
Provider Middle Name:
LOUISE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CNM FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740208156
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/07/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
161 WASHINGTON ST
Provider Second Line Business Mailing Address:
EIGHT TOWER BRIDGE STE 1400 TAKE CARE HEALTH SYSTEMS LL
Provider Business Mailing Address City Name:
CONSHOHOCKEN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19428
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
484-351-3284
Provider Business Mailing Address Fax Number:
484-450-2617

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8450 W 151ST ST
Provider Second Line Business Practice Location Address:
TAKE CARE HEALTH
Provider Business Practice Location Address City Name:
OVERLAND PARK
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-681-1054
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/17/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367A00000X , with the licence number:  41-328325 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 44642 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)