Provider Demographics
NPI:1780095265
Name:PARKER, ALANA JOY (LPN)
Entity type:Individual
Prefix:MS
First Name:ALANA
Middle Name:JOY
Last Name:PARKER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ALANA
Other - Middle Name:JOY
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:18216 MIDDLEBELT RD
Mailing Address - Street 2:APT 103
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3679
Mailing Address - Country:US
Mailing Address - Phone:313-287-2703
Mailing Address - Fax:
Practice Address - Street 1:18216 MIDDLEBELT RD
Practice Address - Street 2:APT 103
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3679
Practice Address - Country:US
Practice Address - Phone:313-287-2703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-18
Last Update Date:2014-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703103534164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse