| Doctor Name: | DIANA CARMODY PARKS |
| NPI Number: | 1053403733 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN MS CFNP |
| License Number: | 209364 |
| Business Practice Address: | 7070 E Dr N Battle Creek, MI - 490148562 |
| Business Phone Number: | 2696601670 |
| Business Fax Number: | 2696600666 |
| Mailing Address: | 7070 E Dr N, BATTLE CREEK |
| State: | MI |
| Postal Code: | 490148562 |
| Phone Number: | 2696601670 |
| Fax Number: | 2696600666 |
| NPI Enumeration Date: | 09/29/2006 |
| NPI Last Update Date: | 04/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209364 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |