Provider Demographics
NPI:1134834864
Name:PARKER, TAMIKA PATRICE
Entity type:Individual
Prefix:MS
First Name:TAMIKA
Middle Name:PATRICE
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 1:8901 HEATHERMORE BLVD APT T1
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-5176
Mailing Address - Country:US
Mailing Address - Phone:202-361-6984
Mailing Address - Fax:
Practice Address - Street 1:3600 ELY PL SE APT 318
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-3057
Practice Address - Country:US
Practice Address - Phone:202-361-6984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant