Provider Demographics
NPI:1801181193
Name:PARRISH, GWENDOLYNE (MEDICAL ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:GWENDOLYNE
Middle Name:
Last Name:PARRISH
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 N SABLE BLVD
Mailing Address - Street 2:UNIT 5308
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-0823
Mailing Address - Country:US
Mailing Address - Phone:720-365-8605
Mailing Address - Fax:
Practice Address - Street 1:205 N SABLE BLVD
Practice Address - Street 2:UNIT 5308
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-0823
Practice Address - Country:US
Practice Address - Phone:720-365-8605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician