Individual
MRS. ROANNE MARIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7233 E BASELINE RD STE 126, MESA, AZ 85209-5007
(480) 699-2222
(480) 699-3033
Mailing address
7233 E BASELINE RD STE 126, MESA, AZ 85209-5007
(480) 699-2222
(480) 699-3033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP2868
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
AP2868
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301197
—
AZ
Enumeration date
09/21/2007
Last updated
10/27/2020
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