Provider Demographics
NPI:1629014808
Name:PARKER, MARGIE GABIS (FNP C)
Entity type:Individual
Prefix:MRS
First Name:MARGIE
Middle Name:GABIS
Last Name:PARKER
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Gender:F
Credentials:FNP C
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Mailing Address - Street 1:5770 FLINTRIDGE DRIVE
Mailing Address - Street 2:STE 150
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918
Mailing Address - Country:US
Mailing Address - Phone:719-599-5668
Mailing Address - Fax:719-599-7467
Practice Address - Street 1:1625 MEDICAL CENTER PT
Practice Address - Street 2:SUITE 220
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-8731
Practice Address - Country:US
Practice Address - Phone:719-630-3276
Practice Address - Fax:719-635-4377
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2008-11-10
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Provider Licenses
StateLicense IDTaxonomies
CO60319363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO99382792Medicaid
CO99382792Medicaid
CO505348Medicare ID - Type Unspecified