Provider Demographics
NPI:1558141531
Name:PARKER, ALMANETTA NIKON (LPN)
Entity Type:Individual
Prefix:
First Name:ALMANETTA
Middle Name:NIKON
Last Name:PARKER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14700 BRUNSWICK AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-3818
Mailing Address - Country:US
Mailing Address - Phone:216-760-5077
Mailing Address - Fax:
Practice Address - Street 1:14700 BRUNSWICK AVE
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-3818
Practice Address - Country:US
Practice Address - Phone:216-760-5077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.155732.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse