Provider Demographics
NPI:1194980359
Name:PARKER, MEGAN (AB, BSN, JD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:AB, BSN, JD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:PARKER
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AB, BSN
Mailing Address - Street 1:5404 S ANGELINE ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1535
Mailing Address - Country:US
Mailing Address - Phone:585-905-1349
Mailing Address - Fax:
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:206-762-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-26
Last Update Date:2008-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY530619-1163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator