Individual
CHERYL ROSE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
45 THOMAS JOHNSON DR, SUITE 207, FREDERICK, MD 21702-4425
(301) 694-3400
(301) 694-3620
Mailing address
PO BOX 790058, SAINT LOUIS, MO 63179-0058
(636) 549-2380
(314) 569-5974
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
RO68640
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KBC1CH
CAREFIRST BCBS
MD
01
—
P00137653
MEDICARE RAILROAD (PTAN CJ8689)
MD
01
—
P00687678
MEDICARE RAILROAD (PTAN DD6120)
MD
01
—
S417-0007
CAREFIRST BCBS
DC
Enumeration date
11/30/2005
Last updated
03/17/2010
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