Provider Demographics
NPI:1578915971
Name:PARKER, ALAN
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:PARKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12855 RED ROCK RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89508-8556
Mailing Address - Country:US
Mailing Address - Phone:775-846-8739
Mailing Address - Fax:
Practice Address - Street 1:6590 S MCCARRAN BLVD
Practice Address - Street 2:STE A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6171
Practice Address - Country:US
Practice Address - Phone:775-324-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator