Individual
TAVONDA S PARKER
Active
Individual
TAVONDA S PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPC
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
228289
NC
163WC1500X
Community Health Registered Nurse
228289
NC
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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