Individual provider · Type 1 NPI
Raven Parke, PA-C
Medical Physician Assistant · Forest, VA
NPI number
1114545928
Active
Practice location
14805 Forest Rd Ste 229
Forest, VA 24551-5019
Mailing address
27 Stonewall Rd
Concord, VA 24538-3070
Other practice locations
- 213 18th St SE, Roanoke, VA 24013-1311 · (240) 543-7868
- 21054A Timberlake Rd, Lynchburg, VA 24502-7327 · (434) 239-0627
- 4035 Electric Rd Ste A, Roanoke, VA 24018-8449 · (540) 772-8670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 00000000 (VA) |
| Physician Assistant | 363A00000X | 0000000 (VA) |
| Medical Physician Assistant Primary | 363AM0700X | 0110-007699 (VA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Forest
About NPI 1114545928
Raven Parke, PA-C's National Provider Identifier is 1114545928, issued on Jul 8, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Forest, VA. The record was last updated on Jun 28, 2024.