Provider Demographics
NPI:1336103068
Name:PARKER, RITA FAYE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:FAYE
Last Name:PARKER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:PO BOX 841726
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-1726
Mailing Address - Country:US
Mailing Address - Phone:410-247-7500
Mailing Address - Fax:410-247-4227
Practice Address - Street 1:700 GEIPE RD.
Practice Address - Street 2:SUITE 230
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228
Practice Address - Country:US
Practice Address - Phone:410-247-7500
Practice Address - Fax:410-247-4227
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR156916367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD404412600Medicaid
MDR36658Medicare UPIN
MD404412600Medicaid