Provider Demographics
NPI:1093118606
Name:PARKER, CHERIE (ANP-BC)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14361 S BLACKFEATHER DR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-4667
Mailing Address - Country:US
Mailing Address - Phone:913-972-0560
Mailing Address - Fax:
Practice Address - Street 1:14361 S BLACKFEATHER DR
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-4667
Practice Address - Country:US
Practice Address - Phone:913-972-0560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-27
Last Update Date:2014-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45852363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health