Provider Demographics
NPI:1760130561
Name:PARKER, ERICA MAE
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:MAE
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1424
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-1424
Mailing Address - Country:US
Mailing Address - Phone:907-738-2133
Mailing Address - Fax:
Practice Address - Street 1:MT. EDGECUMBE MEDICAL CENTER
Practice Address - Street 2:222 TONGASS DR.
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835
Practice Address - Country:US
Practice Address - Phone:907-966-2411
Practice Address - Fax:907-966-8300
Is Sole Proprietor?:No
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)