Individual provider · Type 1 NPI

Moneak D. Parker

Psychiatric/Mental Health Nurse Practitioner · Southgate, MI

NPI number 1013618875 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Mailing address

546 Sherbourne St
Inkster, MI 48141-1235

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704391890 (MI)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4704391890 (MI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1013618875

Moneak D. Parker's National Provider Identifier is 1013618875, issued on Mar 16, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southgate, MI. The record was last updated on Sep 30, 2026.