Individual
PATTI ANNETTE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
800 N SHILOH RD, GARLAND, TX 75042-5716
(972) 487-5444
(972) 485-3056
Mailing address
800 N SHILOH RD, GARLAND, TX 75042-5716
(972) 487-5444
(972) 485-3056
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
510126
TX
363LG0600X
Gerontology Nurse Practitioner
510126
TX
364SM0705X
Medical-Surgical Clinical Nurse Specialist
510126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140904702
—
TX
Enumeration date
07/12/2006
Last updated
02/23/2010
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