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Individual

MRS. BRENDA J PARRISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CERTIFIED REGISTERED

Contact information

Practice address
2505HIGHWAY 431, BOAZ, AL 35957
(256) 840-3478
Mailing address
PO BOX 758, BOAZ, AL 35957
(256) 840-3478

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
I066425
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51510553
BCBS
AL
Enumeration date
03/31/2008
Last updated
03/31/2008
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