Provider Demographics
NPI:1275219727
Name:PARRISH, KRISTI AGNES
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:AGNES
Last Name:PARRISH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6843 131ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:PARK RIVER
Mailing Address - State:ND
Mailing Address - Zip Code:58270-9647
Mailing Address - Country:US
Mailing Address - Phone:701-520-3304
Mailing Address - Fax:
Practice Address - Street 1:6843 131ST AVE NE
Practice Address - Street 2:
Practice Address - City:PARK RIVER
Practice Address - State:ND
Practice Address - Zip Code:58270-9647
Practice Address - Country:US
Practice Address - Phone:701-520-3304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care