Individual
LOUISE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
156 CORLISS AVE STE 107, JOHNSON CITY, NY 13790
(607) 763-6735
(607) 763-6736
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905
(607) 770-0025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
703368
NY
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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