Individual
MS. MARY ELLEN BURGESS-PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1401 RAINBOW DR, GADSDEN, AL 35901-5319
(256) 543-9497
(256) 543-1343
Mailing address
200 W MEIGHAN BLVD, SUITE E, GADSDEN, AL 35901-3210
(256) 467-4731
(256) 467-4734
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1073481
AL
363LF0000X
Family Nurse Practitioner
1073481
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100568
—
CA
05
—
630400111
—
AL
05
—
630401111
—
AL
05
—
630402111
—
AL
05
—
630405111
—
AL
05
—
630406111
—
AL
05
—
630408111
—
AL
05
—
630409111
—
AL
05
—
630410111
—
AL
05
—
630411111
—
AL
05
—
630412111
—
AL
05
—
891017571
—
AL
Enumeration date
08/03/2006
Last updated
10/03/2013
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