Provider Demographics
NPI:1992198048
Name:PARKER, SANTANNA
Entity Type:Individual
Prefix:
First Name:SANTANNA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11435 FITCHBURG LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2609
Mailing Address - Country:US
Mailing Address - Phone:513-972-1096
Mailing Address - Fax:513-832-0179
Practice Address - Street 1:11435 FITCHBURG LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-2609
Practice Address - Country:US
Practice Address - Phone:513-972-1096
Practice Address - Fax:513-832-0179
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)