Individual
EVETTE LOUISE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20 JERUSALEM AVE, HICKSVILLE, NY 11801-4980
(516) 326-2020
Mailing address
14821 HOOK CREEK BLVD, ROSEDALE, NY 11422-2936
(646) 298-4048
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
417095
NY
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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