National Provider Identifier

Katherine Decker Parks

Katherine Decker Parks is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 266-5420.

NPI 1629236302Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1629236302
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
May 29, 2008
Last Updated
December 23, 2015

Practice Location

  • 500 Helendale RD
  • Suite 100
  • Rochester, NY 14609-3173

Phone: (585) 266-5420

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1629236302
Entity Type
Individual
Last Name
Parks
First Name
Katherine
Middle Name
Decker
Provider Other Last Name
Decker
Provider Other First Name
Katherine
Provider Other Middle Name
Elizabeth
Provider Other Last Name Type Code
1
Mailing Street Address
500 Helendale RD
Mailing Address Line 2
Suite 100
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-3173
Mailing Country
US
Mailing Phone
(585) 266-5420
Mailing Fax
(585) 266-5423
Practice Street Address
500 Helendale RD
Practice Address Line 2
Suite 100
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-3173
Practice Country
US
Practice Phone
(585) 266-5420
Practice Fax
(585) 266-5423
Enumeration Date
May 29, 2008
Last Updated
December 23, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)