Provider Demographics
NPI:1346973526
Name:PARKMAN, LACEY TAYLOR (DNP, WHNP-BC)
Entity type:Individual
Prefix:DR
First Name:LACEY
Middle Name:TAYLOR
Last Name:PARKMAN
Suffix:
Gender:
Credentials:DNP, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1292
Mailing Address - Street 2:
Mailing Address - City:BAGDAD
Mailing Address - State:AZ
Mailing Address - Zip Code:86321-1292
Mailing Address - Country:US
Mailing Address - Phone:928-633-6733
Mailing Address - Fax:760-659-5610
Practice Address - Street 1:PO BOX 1292
Practice Address - Street 2:
Practice Address - City:BAGDAD
Practice Address - State:AZ
Practice Address - Zip Code:86321-1292
Practice Address - Country:US
Practice Address - Phone:928-633-6733
Practice Address - Fax:760-659-5610
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN216363163W00000X
AZ285292363LW0102X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse