Provider Demographics
NPI:1205846805
Name:PARKER, CYNTHIA D (CRNA)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:D
Last Name:PARKER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1816
Mailing Address - Country:US
Mailing Address - Phone:205-325-8500
Mailing Address - Fax:205-325-8809
Practice Address - Street 1:1720 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1816
Practice Address - Country:US
Practice Address - Phone:205-325-8500
Practice Address - Fax:205-325-8809
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1041423367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000072409Medicaid
AL000083903OtherBCBS
AL051510616OtherBCBS
AL430034237OtherRAILROAD MEDICARE
AL07525OtherBCBS
AL07525OtherBCBS
AL051510616OtherBCBS