Provider Demographics
NPI:1811334618
Name:PARKER, CHRISTINA FIDENCIA (NP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:FIDENCIA
Last Name:PARKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 SPRING STUEBNER RD STE D
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-4690
Mailing Address - Country:US
Mailing Address - Phone:346-800-6001
Mailing Address - Fax:
Practice Address - Street 1:3307 SPRING STUEBNER RD STE D
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-4690
Practice Address - Country:US
Practice Address - Phone:363-800-6001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1178116363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health