Individual
DIANA CARMODY PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MS CFNP
Contact information
Practice address
7070 E DR N, BATTLE CREEK, MI 49014-8562
(269) 660-1670
(269) 660-0666
Mailing address
7070 E DR N, BATTLE CREEK, MI 49014-8562
(269) 660-1670
(269) 660-0666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209364
MI
363LF0000X
Family Nurse Practitioner
Primary
4704209364
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8320022
PHPSM
MI
Enumeration date
09/29/2006
Last updated
04/10/2015
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