Individual provider · NPI-1
Rebecca Ann Parham, APN
Nurse Practitioner, Gerontology · Carlisle, AR
NPI number1962630079
StatusActive
Last updated in NPPESJun 26, 2009
Details
- NPI
- 1962630079
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Ann Parham
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2009
- Last updated
- Jun 26, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | A03230 ANP | AR | Yes |
Practice location
1450 Plafcan RdCarlisle, AR 72024-9364
Phone 870-672-1494
Mailing address
1450 Plafcan RdCarlisle, AR 72024-9364
Phone 870-672-1494
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