Provider Demographics
NPI:1922696749
Name:PARKER, ALMA ERISPER (MS)
Entity Type:Individual
Prefix:MRS
First Name:ALMA
Middle Name:ERISPER
Last Name:PARKER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 GAVER RD
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:FL
Mailing Address - Zip Code:32333-5823
Mailing Address - Country:US
Mailing Address - Phone:850-528-8759
Mailing Address - Fax:
Practice Address - Street 1:290 GAVER RD
Practice Address - Street 2:
Practice Address - City:HAVANA
Practice Address - State:FL
Practice Address - Zip Code:32333-5823
Practice Address - Country:US
Practice Address - Phone:850-528-8759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion