Individual
COLLEEN PARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11130 CAPITAL BLVD, WAKE FOREST, NC 27587-4513
(919) 488-0015
(919) 488-0021
Mailing address
260 HORIZON DR, RALEIGH, NC 27615-4922
(919) 488-0015
(919) 277-0066
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
182524
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004591
—
NC
Enumeration date
11/21/2007
Last updated
11/19/2013
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