Basic Information
| Provider Information | |||||||||
| NPI: | 1184174906 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PARRISH | ||||||||
| FirstName: | MONRELLE | ||||||||
| MiddleName: | INEZ | ||||||||
| NamePrefix: | MISS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 JOHNSON RD | ||||||||
| Address2: | APT 18D | ||||||||
| City: | PETERSBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 238051571 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8046056157 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10030 ROBIOUS RD | ||||||||
| Address2: | |||||||||
| City: | NORTH CHESTERFIELD | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232354818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8042123450 | ||||||||
| FaxNumber: | 8042673325 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2016 | ||||||||
| LastUpdateDate: | 10/27/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0024173749 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.