Individual
LUANNE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2198 US 31 S, MANISTEE, MI 49660-9618
(231) 655-3146
(231) 723-1735
Mailing address
2198 US 31 S, MANISTEE, MI 49660-9618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704160005
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704160005
MI
Other
Enumeration date
07/25/2006
Last updated
01/09/2025
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