Provider Demographics
NPI:1801508288
Name:PARCHMAN, AJA
Entity type:Individual
Prefix:
First Name:AJA
Middle Name:
Last Name:PARCHMAN
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 1:26033 E 1ST PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-1744
Mailing Address - Country:US
Mailing Address - Phone:970-629-2385
Mailing Address - Fax:
Practice Address - Street 1:26033 E 1ST PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-1744
Practice Address - Country:US
Practice Address - Phone:970-629-2385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0183437163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse