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Individual

MARLYCE E PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2767 SILVER CREEK RD, SUITE A, BULLHEAD CITY, AZ 86442-8227
(928) 704-6741
(928) 704-6779
Mailing address
5525 S WISHING WELL WAY, FORT MOHAVE, AZ 86426-8880
(702) 985-9660

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP3966
AZ
363LG0600X
Gerontology Nurse Practitioner
APN000821
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100504343
NV
Enumeration date
01/31/2006
Last updated
04/11/2012
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