Bryan Shawn Parks in Schoolcraft - Nurse Anesthetist, Certified Registered

Bryan Shawn Parks - NPI 1164645388

Bryan Shawn Parks is a Nurse Anesthetist, Certified Registered in Schoolcraft, Michigan. Bryan Shawn Parks practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Bryan Shawn Parks is 1164645388. The last update date is 2010-06-04.

Bryan Shawn Parks's current location address is 10390 S 2nd St, Schoolcraft, Michigan. You can contact this provider via phone number 2696684787. The mailing address for Bryan Shawn Parks is 10390 S 2nd St, Schoolcraft, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Bryan Shawn Parks
Address 10390 S 2nd St, Schoolcraft, Michigan
Phone Number 2696684787
Fax Number
Sole Proprietor N
Credentials C.R.N.A.

NPI Number Detail

NPI Number 1164645388
Provider Enumeration Date 2007-04-10
Last Updated Date 2010-06-04

Provider Mailing Address Detail

Address 10390 S 2nd St
City Schoolcraft
State Michigan (MI)
Post Code 490879444
Phone Number 2696684787
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 4704202241
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
430H060120 MI BCBSM

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FAQs about Bryan Shawn Parks

What is the unique 10-digit identification code issued to Bryan Shawn Parks by the Centers for Medicare & Medicaid Services?

The Bryan Shawn Parks has been assigned the NPI (National Provider Identifier) 1164645388 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Bryan Shawn Parks is physically located?

The Bryan Shawn Parks is situated at the following address: 10390 S 2Nd St, Schoolcraft, MI 490879444.

What is the Bryan Shawn Parks's specialty and taxonomy code?

The Bryan Shawn Parks's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.

On what date did the Bryan Shawn Parks receive its 1164645388 assignment from the Centers for Medicare & Medicaid Services?

The Bryan Shawn Parks was assigned its 1164645388 by the Centers for Medicare & Medicaid Services on 2007-04-10.

When was the information regarding Bryan Shawn Parks most recently updated?

The details pertaining to the Bryan Shawn Parks, including its address, specialty, and other relevant information, were last refreshed on 2010-06-04.

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