Provider Demographics
NPI:1740480896
Name:PARKER, IONA MAY (APRN-BC)
Entity type:Individual
Prefix:MRS
First Name:IONA
Middle Name:MAY
Last Name:PARKER
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:MISS
Other - First Name:IONA
Other - Middle Name:MAY
Other - Last Name:PORTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1105 UNION AVENUE
Mailing Address - Street 2:
Mailing Address - City:STEILACOOM
Mailing Address - State:WA
Mailing Address - Zip Code:98388-3011
Mailing Address - Country:US
Mailing Address - Phone:253-581-7665
Mailing Address - Fax:
Practice Address - Street 1:1105 UNION AVENUE
Practice Address - Street 2:
Practice Address - City:STEILACOOM
Practice Address - State:WA
Practice Address - Zip Code:98388-3011
Practice Address - Country:US
Practice Address - Phone:253-581-7665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID70238163W00000X
WARN00114818163W00000X
WAAP30005821364SF0001X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8867131Medicare UPIN
WAG8800256Medicare PIN