Provider Demographics
NPI:1124756564
Name:PARRISH, COURTNEY KYZAR (RN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:KYZAR
Last Name:PARRISH
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:RUTH
Other - Last Name:KYZAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1005 WICKFORD RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2316
Mailing Address - Country:US
Mailing Address - Phone:205-616-2741
Mailing Address - Fax:
Practice Address - Street 1:2100 BEVERLY HILLS DR
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1704
Practice Address - Country:US
Practice Address - Phone:205-862-1892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-147211163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Provider Identifiers
StateIdentifier IDID TypeIssuer
L-307388OtherIBLCE