Provider Demographics
NPI:1346229770
Name:PARSONS, DEANN K (PAC)
Entity Type:Individual
Prefix:
First Name:DEANN
Middle Name:K
Last Name:PARSONS
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 W 27TH ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50614-0221
Mailing Address - Country:US
Mailing Address - Phone:319-273-2009
Mailing Address - Fax:319-273-7030
Practice Address - Street 1:1227 W 27TH ST
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50614-0221
Practice Address - Country:US
Practice Address - Phone:319-273-2009
Practice Address - Fax:319-273-7030
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000746363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAP00342690OtherRR MEDICARE
IAR81018Medicare UPIN