Provider Demographics
NPI:1306968193
Name:PARRY, DIANA Z (NP)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:Z
Last Name:PARRY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:563 S XENON CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-2818
Mailing Address - Country:US
Mailing Address - Phone:303-321-2255
Mailing Address - Fax:
Practice Address - Street 1:210 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4616
Practice Address - Country:US
Practice Address - Phone:303-321-2255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2543363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health