Individual
MATTHEW ALLEN PARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
560 S PASEO DOROTEA STE 4A, PALM SPRINGS, CA 92264-1434
(951) 346-3399
Mailing address
560 S PASEO DOROTEA STE 4A, PALM SPRINGS, CA 92264-1434
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024164
CA
Other
Enumeration date
03/01/2023
Last updated
05/09/2023
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