Provider Demographics
NPI:1760297766
Name:PARKER, MOLLY (LM, CPM, BSM)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:LM, CPM, BSM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 W SAN JOSE AVE APT 105
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-2736
Mailing Address - Country:US
Mailing Address - Phone:559-776-2757
Mailing Address - Fax:
Practice Address - Street 1:140 W SAN JOSE AVE APT 105
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-2736
Practice Address - Country:US
Practice Address - Phone:559-776-2757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM760176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife