Individual
BRENDA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 PROSPECT ST, HOMER, NY 13077-1027
(607) 591-3581
Mailing address
41 PROSPECT ST, HOMER, NY 13077-1027
(315) 427-6749
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
298833-1
NY
363LF0000X
Family Nurse Practitioner
Primary
355210-01
NY
Other
Enumeration date
09/30/2012
Last updated
03/25/2025
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