SHANE D PARISH MSN APRN. AGNP-C NPI 1992217020

NPI Information

NPI: 1992217020
Provider Name: SHANE D PARISH, MSN, APRN. AGNP-C
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
1585 WOODLAKE DR STE 111
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 645-6840
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Shane D Parish, MSN, APRN. AGNP-C is a primary care nurse practitioner in Chesterfield, MO. Shane D Parish, MSN, APRN. AGNP-C NPI is 1992217020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1585 WOODLAKE DR STE 111
CHESTERFIELD, MO
ZIP 63017-740
Phone: (314) 645-6840
Fax: (314) 628-1046

The enumeration date for this NPI number is 10/30/2017 and was last updated on 10/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	2017038120	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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