Provider Demographics
NPI:1205299187
Name:PARKER, ALICE RACHEL (RN, MS, CPNP-AC)
Entity type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:RACHEL
Last Name:PARKER
Suffix:
Gender:F
Credentials:RN, MS, CPNP-AC
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Mailing Address - Street 1:740 SUTRO AVE
Mailing Address - Street 2:740 SUTRO AVE
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94947-1971
Mailing Address - Country:US
Mailing Address - Phone:415-353-1955
Mailing Address - Fax:
Practice Address - Street 1:1975 4TH STREET, BOX 550
Practice Address - Street 2:UCSF BENIOFF CHILDREN'S HOSPITAL
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2351
Practice Address - Country:US
Practice Address - Phone:415-476-9678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95003387363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care