Provider Demographics
NPI:1053893057
Name:PARKER, NATALIA (NP)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12143 OAK HVN W
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-4982
Mailing Address - Country:US
Mailing Address - Phone:818-274-6863
Mailing Address - Fax:
Practice Address - Street 1:12143 OAK HVN W
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-4982
Practice Address - Country:US
Practice Address - Phone:818-274-6863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2024-03-29
Deactivation Date:2019-05-03
Deactivation Code:
Reactivation Date:2019-05-22
Provider Licenses
StateLicense IDTaxonomies
TX1044826363LA2100X
CA95010185363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care