Doctor Name: | MEGAN MARIE PARENT |
NPI Number: | 1174587091 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 89595 |
Business Practice Address: | 4th St Fort Irwin, CA - 92310 |
Business Phone Number: | 7603803185 |
Business Fax Number: | |
Mailing Address: | 76 Grenada Way, FORT IRWIN |
State: | CA |
Postal Code: | 923101721 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0102X |
License Number: | 89595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Maternal Newborn |
Taxonomy Definition: |