Individual
REBECCA L PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1860 PENNSYLVANIA AVE, FAIRFIELD, CA 94533-3590
(707) 646-4459
(707) 646-4461
Mailing address
1860 PENNSYLVANIA AVE STE 110, FAIRFIELD, CA 94533-3550
(707) 646-4459
(707) 646-4461
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95006403
CA
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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