Provider Demographics
NPI:1740742857
Name:PARRISH, MICHELLE RENEE (BSN, RN, FCP)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:RENEE
Last Name:PARRISH
Suffix:
Gender:F
Credentials:BSN, RN, FCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 TROUT AVE
Mailing Address - Street 2:
Mailing Address - City:LIGONIER
Mailing Address - State:PA
Mailing Address - Zip Code:15658-2580
Mailing Address - Country:US
Mailing Address - Phone:724-610-8735
Mailing Address - Fax:
Practice Address - Street 1:510 TROUT AVE
Practice Address - Street 2:
Practice Address - City:LIGONIER
Practice Address - State:PA
Practice Address - Zip Code:15658-2580
Practice Address - Country:US
Practice Address - Phone:724-610-8735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-05
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN640781163WR1000X, 163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No163WR1000XNursing Service ProvidersRegistered NurseReproductive Endocrinology/Infertility