Provider Demographics
NPI:1861193948
Name:PARRISH, PATRICK ROLLAND (RN, BSN)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:ROLLAND
Last Name:PARRISH
Suffix:
Gender:M
Credentials:RN, BSN
Other - Prefix:
Other - First Name:ROLLIE
Other - Middle Name:
Other - Last Name:PARRISH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:4427 S MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-7838
Mailing Address - Country:US
Mailing Address - Phone:509-280-5747
Mailing Address - Fax:
Practice Address - Street 1:4427 S MYRTLE ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-7838
Practice Address - Country:US
Practice Address - Phone:509-280-5747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00103411163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse