Provider Demographics
NPI:1467469262
Name:PARRISH, BECKY L (ARNP)
Entity Type:Individual
Prefix:MS
First Name:BECKY
Middle Name:L
Last Name:PARRISH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:BECKY
Other - Middle Name:LOU
Other - Last Name:GALASKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 4557
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-4557
Mailing Address - Country:US
Mailing Address - Phone:866-290-4325
Mailing Address - Fax:515-280-9525
Practice Address - Street 1:704 N ANKENY BLVD
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023
Practice Address - Country:US
Practice Address - Phone:866-290-4325
Practice Address - Fax:515-280-9525
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA106394363L00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAQ11638Medicare UPIN