NPI 1003015447

Ryan Eugene Parnham, NPC

Practitioner Family Nurse Practitioner Peoria, IL

Practice location

Address: 530 NE Glen Oak Ave Suite 108, Peoria, IL 61537-3167
Phone: (309) 624-8818

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 209006653 (IL)

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Registry record

NPI: 1003015447
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2007
Record last updated: 17 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.