Individual
ANDREA BROOKE PARSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8854 W EMERALD ST STE 140, BOISE, ID 83704-4845
(304) 590-6490
Mailing address
PO BOX 8941, SOUTH CHARLESTON, WV 25303-0941
(304) 590-6490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2741
WV
363A00000X
Physician Assistant
PA9107216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3033425-01
—
TX
Enumeration date
04/04/2012
Last updated
08/02/2023
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