Provider Demographics
NPI:1073606398
Name:PARKER, JOY CHRISTINE (CPM, LM)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:CHRISTINE
Last Name:PARKER
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 7TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAUK RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:56379-2026
Mailing Address - Country:US
Mailing Address - Phone:320-202-5989
Mailing Address - Fax:
Practice Address - Street 1:120 7TH AVE N
Practice Address - Street 2:
Practice Address - City:SAUK RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:56379-2026
Practice Address - Country:US
Practice Address - Phone:320-202-5989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1011176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife