Doctor Name: | MRS. ANGELA M PARMENTIER |
NPI Number: | 1104104561 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP, APNP, NP-C, RN- |
License Number: | 4471-33 |
Business Practice Address: | 100 County Road B Shawano, WI - 541667072 |
Business Phone Number: | 7155242161 |
Business Fax Number: | 7155248164 |
Mailing Address: | Po Box 8003, APPLETON |
State: | WI |
Postal Code: | 549128003 |
Phone Number: | 9208305900 |
Fax Number: | 9207385187 |
NPI Enumeration Date: | 08/02/2011 |
NPI Last Update Date: | 01/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4471-33 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |