Provider Demographics
NPI:1427220730
Name:PARKER, ALYSSA KATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:KATHERINE
Last Name:PARKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BURNETT CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VT
Mailing Address - Zip Code:05477-4410
Mailing Address - Country:US
Mailing Address - Phone:802-434-5090
Mailing Address - Fax:
Practice Address - Street 1:12 BURNETT CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VT
Practice Address - Zip Code:05477-4410
Practice Address - Country:US
Practice Address - Phone:802-434-5090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420012189208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics