Basic Information
Provider Information
NPI: 1255973947
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARSLEY
FirstName: MICHAEL
MiddleName: ALLEN
NamePrefix: MR.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1121 FAIRMONT ST NW APT 1
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200095492
CountryCode: US
TelephoneNumber: 5303214437
FaxNumber:  
Practice Location
Address1: 110 IRVING ST NW # AT
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200103017
CountryCode: US
TelephoneNumber: 2028777000
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/14/2019
LastUpdateDate: 10/14/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XRN1040171DCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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