Provider Demographics
NPI:1376082545
Name:PARKER, PATRICIA DARLENE (ARNP-C)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:DARLENE
Last Name:PARKER
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6325 US HIGHWAY 27 N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-8226
Mailing Address - Country:US
Mailing Address - Phone:863-385-2222
Mailing Address - Fax:863-382-8765
Practice Address - Street 1:6325 US HIGHWAY 27 N
Practice Address - Street 2:SUITE 201
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-8226
Practice Address - Country:US
Practice Address - Phone:863-385-2222
Practice Address - Fax:863-382-8765
Is Sole Proprietor?:No
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2219462363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner