Individual
MICHAEL ANDRES PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-6300
Mailing address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-6300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
58157
ID
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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