Individual
MS. MARY ELIZABETH PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9640 SYLVANIA METAMORA RD, SYLVANIA, OH 43560-9485
(248) 660-1220
Mailing address
5 CANEBREAK PL, FAIRHOPE, AL 36532-6370
(334) 333-6158
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0034480
OH
363LA2200X
Adult Health Nurse Practitioner
1-193323
AL
363LA2200X
Adult Health Nurse Practitioner
13235
TN
363LW0102X
Women's Health Nurse Practitioner
13235
TN
Other
Enumeration date
02/06/2008
Last updated
10/10/2023
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