Provider Demographics
NPI:1144469735
Name:PARCELLS, CLAUDIA (NP)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:PARCELLS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 E PLAZA DR
Mailing Address - Street 2:SUITE 170
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-6566
Mailing Address - Country:US
Mailing Address - Phone:208-939-3505
Mailing Address - Fax:208-939-3507
Practice Address - Street 1:951 E PLAZA DR
Practice Address - Street 2:SUITE 170
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-6566
Practice Address - Country:US
Practice Address - Phone:208-939-3505
Practice Address - Fax:208-939-3507
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNP-852A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily