Burgess-Parker, Mary Ellen
Burgess-Parker, Mary Ellen is an individual health care provider with primary practice located at 1401 Rainbow Dr , Gadsden AL 35901-5319. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Burgess-Parker, Mary Ellen can be contacted via phone (256) 543-9497.Contact Information
Primary practice address
1401 Rainbow Dr
Gadsden AL 35901-5319
Phone: (256) 543-9497
Fax: (256) 543-1343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1073481 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1073481 | Alabama |
Profile Details
| NPI number | 1033127477 |
|---|---|
| LBN Legal business name | Burgess-Parker, Mary Ellen |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Oct 3rd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033127477 | NPPES |
| Alabama | MEDICAID | 630411111 | |
| Alabama | MEDICAID | 630412111 | |
| Alabama | MEDICAID | 100568 | |
| Alabama | MEDICAID | 630402111 | |
| Alabama | MEDICAID | 630408111 | |
| Alabama | MEDICAID | 630409111 | |
| Alabama | MEDICAID | 630405111 | |
| Alabama | MEDICAID | 630406111 | |
| Alabama | MEDICAID | 630410111 | |
| Alabama | MEDICAID | 630400111 | |
| Alabama | MEDICAID | 891017571 | |
| Alabama | MEDICAID | 630401111 |
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