Individual
MARILYN PARKER-CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1303 NE CUSHING DR STE 100, BEND, OR 97701-3887
(541) 388-2333
(541) 388-0930
Mailing address
1303 NE CUSHING DR, BEND, OR 97701-3887
(541) 388-2333
(541) 388-0930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
088000529RN
OR
363LF0000X
Family Nurse Practitioner
Primary
088000529N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150855
—
OR
01
—
R100919
MEDICARE PTAN
OR
Enumeration date
07/06/2006
Last updated
09/27/2018
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