Robin Marie Parker, PNP

Individual provider Active NPI Pediatric Nurse Practitioner · Apple Valley, MN

NPI 1821523028 · NPPES record last updated Apr 28, 2017

Key facts

NPI
1821523028
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
CNP 5046 (MN)
Practice address
14135 Cedar Avenue South
Suite 100
Apple Valley, MN 55124
Phone
(651) 324-2433
NPI assigned
Apr 25, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CNP 5046MNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eagan Valley Pediatrics, P.a. Past Accepting new patients
Today Care Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X CNP 5046 MN Yes

Addresses

Primary practice location

14135 Cedar Avenue South
Suite 100
Apple Valley, MN 55124

Mailing address

5112 Woodgate CT
Minnetonka, MN 55345-4528
Phone (651) 324-2433

Other providers in Apple Valley, MN

All providers in Apple Valley, MN · Pediatric Nurse Practitioner in Minnesota

Sources for this page

Verify at the official NPI Registry.