Provider Demographics
NPI:1265649347
Name:PARKER, RACHAEL ELIZABETH (BSE)
Entity Type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:ELIZABETH
Last Name:PARKER
Suffix:
Gender:F
Credentials:BSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 RIVERFRONT DR
Mailing Address - Street 2:APT. 4214
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-2233
Mailing Address - Country:US
Mailing Address - Phone:318-294-7214
Mailing Address - Fax:
Practice Address - Street 1:2200 RIVERFRONT DR
Practice Address - Street 2:APT. 4214
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-2233
Practice Address - Country:US
Practice Address - Phone:318-294-7214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist