Individual
TERRI L PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6051 FRANKFORT HWY STE 200, BENZONIA, MI 49616-9651
(877) 398-2013
(231) 882-2360
Mailing address
1516 WHITE OAK LN, INTERLOCHEN, MI 49643-9465
(231) 276-9363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704179343
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704179343
STATE OF MICHIGAN LICENSE
MI
Enumeration date
02/15/2008
Last updated
02/15/2008
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