Individual
MRS. TRACI LAFAYE PARKER
Active
Individual
MRS. TRACI LAFAYE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP143279
TX
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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