Provider Demographics
NPI:1073998563
Name:PARKER, ZARETTE MECHELLE (RNF)
Entity Type:Individual
Prefix:
First Name:ZARETTE
Middle Name:MECHELLE
Last Name:PARKER
Suffix:
Gender:F
Credentials:RNF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 BEARDSLEY DR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-1672
Mailing Address - Country:US
Mailing Address - Phone:321-356-7792
Mailing Address - Fax:
Practice Address - Street 1:2055 BEARDSLEY DR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-1672
Practice Address - Country:US
Practice Address - Phone:321-356-7792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-25
Last Update Date:2015-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9412755163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse