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Carol Lynn Parks
Family Nurse Practitioner in Michigan City, Indiana
NPI 1013100775

Carol Lynn Parks is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Carol Lynn Parks practices in Michigan City, IN. The NPI Number for Carol Lynn Parks is 1013100775 and holds a License No. 71002473A (Indiana).

The current practice location address for Carol Lynn Parks is 1225 E Coolspring Ave, Michigan City, IN and can be reached out via phone at 219-879-6531.

Location: 1225 E Coolspring Ave, Michigan City, IN, 48278-1076
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Provider Profile Details
NPI Number
1013100775
Provider Name
Carol Lynn Parks
Credential
Provider Entity Type
Individual
Gender
Female
Address
1225 E Coolspring Ave, Michigan City, IN, 48278-1076
Phone Number
219-879-6531
Fax Number
Provider Enumeration Date
08/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200923670 05 IN
institution
Provider Business Practice Location Address Details
Address
1225 E Coolspring Ave
City
State
Zip
46360-6312
Phone Number
219-879-6531
Fax Number
person
Provider Business Mailing Address Details
Address
1225 E Coolspring Ave
City
State
Zip
46360-6312
Phone Number
219-879-6531
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71002473A (Indiana)
Definition
Definition to come...
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