Provider Demographics
NPI:1962618314
Name:PARRISH, ROBIN LEE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LEE
Last Name:PARRISH
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4437 PHILLIPS DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-2449
Mailing Address - Country:US
Mailing Address - Phone:940-696-9922
Mailing Address - Fax:
Practice Address - Street 1:149 HART ST
Practice Address - Street 2:SHEPPARD AFB PEDIATRIC CLINIC
Practice Address - City:SHEPPARD AFB
Practice Address - State:TX
Practice Address - Zip Code:76311-3477
Practice Address - Country:US
Practice Address - Phone:940-676-6777
Practice Address - Fax:940-676-2706
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX561287163WL0100X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant