Provider Demographics
NPI:1639691363
Name:PARKER, AYANNA BINTA (CD)
Entity Type:Individual
Prefix:
First Name:AYANNA
Middle Name:BINTA
Last Name:PARKER
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1956 FROSTBURG CIR
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-2977
Mailing Address - Country:US
Mailing Address - Phone:443-813-5891
Mailing Address - Fax:
Practice Address - Street 1:1956 FROSTBURG CIR
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-2977
Practice Address - Country:US
Practice Address - Phone:443-813-5891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-14
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula