Provider Demographics
NPI:1922098102
Name:PARKER, MARCIA DEBRA (RN)
Entity Type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:DEBRA
Last Name:PARKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:DEBRA
Other - Last Name:KINSELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2501 OAKINGTON ST
Mailing Address - Street 2:KIRK US ARMY HEALTH CLINIC
Mailing Address - City:ABERDEEN PROVING GROUND
Mailing Address - State:MD
Mailing Address - Zip Code:21005-5131
Mailing Address - Country:US
Mailing Address - Phone:410-278-1986
Mailing Address - Fax:410-278-1783
Practice Address - Street 1:2501 OAKINGTON ST
Practice Address - Street 2:KIRK US ARMY HEALTH CLINIC
Practice Address - City:ABERDEEN PROVING GROUND
Practice Address - State:MD
Practice Address - Zip Code:21005-5131
Practice Address - Country:US
Practice Address - Phone:410-278-1986
Practice Address - Fax:410-278-1783
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR092537163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse