Provider Demographics
NPI:1629376090
Name:PARSONS, PAMELA A (APRN)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:A
Last Name:PARSONS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:195 COMMONS LOOP
Mailing Address - Street 2:SUITE D
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-1912
Mailing Address - Country:US
Mailing Address - Phone:406-752-8180
Mailing Address - Fax:406-752-1056
Practice Address - Street 1:195 COMMONS LOOP
Practice Address - Street 2:SUITE D
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-1912
Practice Address - Country:US
Practice Address - Phone:406-752-8180
Practice Address - Fax:406-752-1056
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT44449367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife