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Individual

MARY PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
12550 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3655
(239) 343-9180
(239) 343-9188
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1449
(239) 424-1421

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9383241
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F401450-1
NY

Other

Enumeration date
11/30/2011
Last updated
10/28/2016
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