Provider Demographics
NPI:1487272902
Name:PARKER, ANNA WOODS
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:WOODS
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1436 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-3222
Mailing Address - Country:US
Mailing Address - Phone:252-946-1902
Mailing Address - Fax:252-946-8430
Practice Address - Street 1:1436 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-3222
Practice Address - Country:US
Practice Address - Phone:252-946-1902
Practice Address - Fax:252-946-8430
Is Sole Proprietor?:No
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator