Provider Demographics
NPI:1326310533
Name:PARKER, NORAH N (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:NORAH
Middle Name:N
Last Name:PARKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4600 S MILL AVE
Mailing Address - Street 2:280
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-6757
Mailing Address - Country:US
Mailing Address - Phone:480-305-2888
Mailing Address - Fax:480-305-2889
Practice Address - Street 1:1982 W MAIN ST
Practice Address - Street 2:101
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-6916
Practice Address - Country:US
Practice Address - Phone:480-677-8282
Practice Address - Fax:480-535-0962
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2019-05-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ5053363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ728352Medicaid
AZ728352Medicaid