Lacie Parmenter, RN
Individual provider Active NPI General Practice Registered Nurse · Polacca, AZ
NPI 1851996425 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1851996425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 56830 (ID)
- Practice address
- Highway 264 Mile Post 388
Polacca, AZ 86042 - Phone
- (928) 737-6000
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56830 | ID | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 56830 | ID | Yes |
Addresses
Primary practice location
Highway 264 Mile Post 388
Polacca, AZ 86042
Mailing address
PO Box 436
Polacca, AZ 86042-0436
Phone (208) 206-5014
Other providers in Polacca, AZ
- Nola Jean Naha
- Felicia Renee Nevayaktewa
- Lucinda Nez
- Eugene Nodestine
- Joycelyn Ovah
- Susan E Perron
- Amber Perry
- Delores Poe-Ami
- Lesa G Poola
- Kevin C Powers
All providers in Polacca, AZ · General Practice Registered Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.