Provider Demographics
NPI:1801226881
Name:PARKER, RHYS AARON (CPNP-PC)
Entity Type:Individual
Prefix:MR
First Name:RHYS
Middle Name:AARON
Last Name:PARKER
Suffix:
Gender:M
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 482 BOX 2667
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96362-2699
Mailing Address - Country:US
Mailing Address - Phone:01181611-743-7304
Mailing Address - Fax:01181611-743-7511
Practice Address - Street 1:PSC 482 BOX 2667
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96362-2699
Practice Address - Country:US
Practice Address - Phone:01181611-743-7304
Practice Address - Fax:01181611-743-7511
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA809444363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics