Provider Demographics
NPI:1821821513
Name:PARSELL, KATELYN ROSE (ND)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:ROSE
Last Name:PARSELL
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 N ALMER ST
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-1547
Mailing Address - Country:US
Mailing Address - Phone:855-672-2600
Mailing Address - Fax:
Practice Address - Street 1:21 N ALMER ST
Practice Address - Street 2:
Practice Address - City:CARO
Practice Address - State:MI
Practice Address - Zip Code:48723-1547
Practice Address - Country:US
Practice Address - Phone:855-672-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704350683163W00000X
175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No163W00000XNursing Service ProvidersRegistered Nurse