Individual
MR. BRYAN EDWARD PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
5000 HENNESSY BLVD, SUITE 211, BATON ROUGE, LA 70808-4375
(225) 765-7163
(225) 765-7164
Mailing address
10835 SULLIVAN RD, APT. C1, BATON ROUGE, LA 70818-4146
(225) 368-1742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07943
LA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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