Provider Demographics
NPI:1497227011
Name:PARKER-TUNNELL, FLORENCE AMY
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:AMY
Last Name:PARKER-TUNNELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 261
Mailing Address - Street 2:
Mailing Address - City:TRUFANT
Mailing Address - State:MI
Mailing Address - Zip Code:49347-0261
Mailing Address - Country:US
Mailing Address - Phone:616-322-1336
Mailing Address - Fax:
Practice Address - Street 1:10606 W CARSON CITY RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MI
Practice Address - Zip Code:48838-9141
Practice Address - Country:US
Practice Address - Phone:616-712-6155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI475914Medicaid