Provider Demographics
NPI:1881764686
Name:PARKER, ANGELA MICHELLE
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:MICHELLE
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ERIKA
Other - Middle Name:NICOLE
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37535 VINCENT ST
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-4076
Mailing Address - Country:US
Mailing Address - Phone:734-595-1984
Mailing Address - Fax:734-595-1984
Practice Address - Street 1:37535 VINCENT ST
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-4076
Practice Address - Country:US
Practice Address - Phone:734-595-1984
Practice Address - Fax:734-595-1984
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health