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Individual

TERRI K PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2420 LAKE AVE, ASHTABULA, OH 44004-4954
(800) 277-8151
Mailing address
PO BOX 3832, COLUMBUS, OH 43271-0001
(800) 277-8151

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.02584
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0793271
OH
Enumeration date
09/14/2005
Last updated
04/02/2020
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