Parks, Melissa L

Parks, Melissa L is an individual health care provider with primary practice located at 18700 N 64Th Dr 301, Glendale AZ 85308-7109. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Parks, Melissa L can be contacted via phone (623) 561-5437.

Contact Information

Primary practice address
18700 N 64Th Dr 301 Glendale AZ 85308-7109
Phone: (623) 561-5437
Fax: (623) 561-9320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3489 Arizona

Profile Details

NPI number 1255483913
LBN Legal business name Parks, Melissa L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Mar 29th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255483913 NPPES
Arizona MEDICAID 161011

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