Provider Demographics
NPI:1326473521
Name:PARRISH, ANNE SYDNEY (PA-C)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:SYDNEY
Last Name:PARRISH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:SYDNEY
Other - Last Name:FRANCISCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:799 E BRANNON RD
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-6038
Mailing Address - Country:US
Mailing Address - Phone:859-971-4670
Mailing Address - Fax:859-971-4604
Practice Address - Street 1:100 PROVIDENCE WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-6031
Practice Address - Country:US
Practice Address - Phone:859-260-5370
Practice Address - Fax:859-260-5379
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTC225363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant