THERESE YONEKO PARKER


Address: 669 E Myrtle Ave, Trevose, PA 19053-4640
Phone: 2153648412

THERESE YONEKO PARKER (NPI# 1942555636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942555636
Entity Type Individual
Full Name THERESE YONEKO PARKER
Practice Address 669 E Myrtle Ave
Trevose
PA 19053-4640
Practice Telephone 2153648412
Practice Fax Number 2153648730
Mailing Telephone 2153648412
Enumeration Date 2012-07-18
Last Update Date 2014-11-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN628890 PA Nursing Service Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
SP012416 PA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
SP014459 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 669 E MYRTLE AVE
City TREVOSE
State PA
Zip Code 19053-4640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104244623 Mary Marquis Nurse Practitioner 669 E Myrtle Ave, Trevose, PA 19053-4640 2014-04-01

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1194189019 Kathleen A Gant Nurse Practitioner 4829 Street Rd, Trevose, PA 19053 2016-04-06
1801263165 Kristi Ann Wert Nurse Practitioner 4829 E. Street Rd, Trevose, PA 19053 2015-08-21
1841675113 Marlene Lisa Levis Pharmacist 176 West Street Road, Feasterville, PA 19053 2015-07-28
1578802229 Colleen Joan Garneau Registered Nurse 2500 N Gate Rd, Trevose, PA 19053 2013-01-31
1225306376 Michael J Fanelli Pharmacist 2 E. Street Rd, Feasterville, PA 19053 2011-12-05
1053689125 Yuliya Peskin Pharmacist 2 E Street Road, Walgreens, Feasterville, PA 19053 2011-12-05
1891000584 Justin T Jiunta Physical Therapist 1040 Mill Creek Drive, Feasterville, PA 19053 2010-08-18
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City TREVOSE
Zip Code 19053

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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