Provider Demographics
NPI:1407820020
Name:PARKER, MINCHA G (APRN)
Entity Type:Individual
Prefix:
First Name:MINCHA
Middle Name:G
Last Name:PARKER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 ROSE STREET
Mailing Address - Street 2:2ND FLOOR WHITNEY-HENDRICKSON BLDG
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0098
Mailing Address - Country:US
Mailing Address - Phone:859-323-2222
Mailing Address - Fax:859-323-6840
Practice Address - Street 1:800 ROSE ST FL 2
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-9464
Practice Address - Country:US
Practice Address - Phone:859-323-2222
Practice Address - Fax:859-323-6840
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1062114163W00000X
KY3002995363LX0001X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3002995OtherNURSE PRACTITIONER, WOMEN'S CARE
KY1062114OtherRN
KY78003332Medicaid
KY78003332Medicaid
S96284Medicare UPIN