Individual
THERESE YONEKO PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
669 E MYRTLE AVE, TREVOSE, PA 19053-4640
(215) 364-8412
(215) 364-8730
Mailing address
669 E MYRTLE AVE, TREVOSE, PA 19053-4640
(215) 364-8412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN628890
PA
363LA2200X
Adult Health Nurse Practitioner
SP012416
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
SP014459
PA
Other
Enumeration date
07/18/2012
Last updated
11/24/2014
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