Most Relevant Information
Provider Data
| NPI Number: | 1003547654 |
| Provider Name: | HEIDI PARKER |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2022 |
| Last Updated: | 06/23/2022 |
Provider Practice Location
3697 MCCLELLAN HWY
BRANCHLAND
WV
255068720
Practice Location Phone/Fax
| Phone: | 3049884200 |
| Fax: |
Provider Mailing Location
3697 MCCLELLAN HWY
BRANCHLAND
WV
255068720
Provider Mailing Phone/Fax
| Phone: | 3049884200 |
| Fax: |