Provider Demographics
NPI:1790027753
Name:PARKER, NAOMIE EVAMARIE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:NAOMIE
Middle Name:EVAMARIE
Last Name:PARKER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 MCMILLIAN LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-3428
Mailing Address - Country:US
Mailing Address - Phone:843-669-4141
Mailing Address - Fax:
Practice Address - Street 1:319 S DARGAN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2538
Practice Address - Country:US
Practice Address - Phone:843-669-4141
Practice Address - Fax:843-673-1161
Is Sole Proprietor?:No
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCP37918164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse