Provider Demographics
NPI:1134342355
Name:PARRISH, MELISSA DIANNE (RN)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:DIANNE
Last Name:PARRISH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:MELISSA
Other - Middle Name:DIANNE
Other - Last Name:PARRISH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:6329 FEATHER RUN DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-8655
Mailing Address - Country:US
Mailing Address - Phone:317-250-8969
Mailing Address - Fax:317-889-1396
Practice Address - Street 1:6329 FEATHER RUN DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-8655
Practice Address - Country:US
Practice Address - Phone:317-250-8969
Practice Address - Fax:317-889-1396
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28120516A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse