Provider Demographics
NPI:1750571725
Name:PARLETT, HEATHER KATHLEEN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:KATHLEEN
Last Name:PARLETT
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:555 CAJON ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5980
Mailing Address - Country:US
Mailing Address - Phone:909-509-5900
Mailing Address - Fax:909-509-5922
Practice Address - Street 1:555 CAJON ST
Practice Address - Street 2:SUITE B
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5980
Practice Address - Country:US
Practice Address - Phone:909-509-5900
Practice Address - Fax:909-509-5922
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA 17612363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical