Provider Demographics
NPI:1679816649
Name:PARKMAN, RENEE (RN)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:
Last Name:PARKMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 S WHEELER AVE
Mailing Address - Street 2:
Mailing Address - City:PROSPERITY
Mailing Address - State:SC
Mailing Address - Zip Code:29127-9346
Mailing Address - Country:US
Mailing Address - Phone:803-364-2321
Mailing Address - Fax:803-364-4484
Practice Address - Street 1:381 S WHEELER AVE
Practice Address - Street 2:
Practice Address - City:PROSPERITY
Practice Address - State:SC
Practice Address - Zip Code:29127-9346
Practice Address - Country:US
Practice Address - Phone:803-364-2321
Practice Address - Fax:803-364-4484
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC68502163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool