person
Deidra G Parks, CPNP
Public Health or Welfare Agency in Hackensack, New Jersey
NPI 1417241639

Deidra G Parks is a Public Health or Welfare Agency based in Waldwick, NJ. Deidra G Parks practices in Hackensack, NJ and has the professional credentials of CPNP. The NPI Number for Deidra G Parks is 1417241639 and holds a License No. (New Jersey).

The current practice location address for Deidra G Parks is 125 Essex St, Hackensack, NJ and can be reached out via phone at 201-646-2756.

Location: 125 Essex St, Hackensack, NJ, 07463-1349
person
Provider Profile Details
NPI Number
1417241639
Provider Name
Deidra G Parks
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
125 Essex St, Hackensack, NJ, 07463-1349
Phone Number
201-646-2756
Fax Number
Provider Enumeration Date
06/06/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235317298 01 NJ NPI#
institution
Provider Business Practice Location Address Details
Address
125 Essex St
City
State
Zip
07601-4027
Phone Number
201-646-2756
Fax Number
person
Provider Business Mailing Address Details
Address
125 Essex St
City
State
Zip
07601-4027
Phone Number
201-646-2756
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
License No.
(New Jersey)
Definition
Definition to come...
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