Individual
ANDREA DENISE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5133 OSAGE CIR, CHARLOTTE, NC 28269-4693
(612) 799-6509
Mailing address
5133 OSAGE CIR, CHARLOTTE, NC 28269-4693
(612) 799-6509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5011789
NC
363LF0000X
Family Nurse Practitioner
S0MZF4
NC
Other
Enumeration date
04/08/2019
Last updated
08/04/2022
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