Provider Demographics
NPI:1053669309
Name:PARKINSON, CONNIE P (BSRN)
Entity Type:Individual
Prefix:MRS
First Name:CONNIE
Middle Name:P
Last Name:PARKINSON
Suffix:
Gender:F
Credentials:BSRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX C
Mailing Address - Street 2:1025 HOSPITAL RD
Mailing Address - City:SCHURZ
Mailing Address - State:NV
Mailing Address - Zip Code:89427-0502
Mailing Address - Country:US
Mailing Address - Phone:775-773-2005
Mailing Address - Fax:775-773-2395
Practice Address - Street 1:PO BOX C
Practice Address - Street 2:1025 HOSPITAL RD
Practice Address - City:SCHURZ
Practice Address - State:NV
Practice Address - Zip Code:89427-0502
Practice Address - Country:US
Practice Address - Phone:775-773-2005
Practice Address - Fax:775-773-2395
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11493163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse