Antanisha L Parks
Antanisha L Parks is a Physician Assistant in Saint Louis, Missouri. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 2
Practice location Address checks out
915 N Grand BlvdSaint Louis, MO 63106-1621
Phone: (314) 652-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1083556427 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 6, 2026 |
| Last updated in NPPES | April 6, 2026 |
| Certification date | April 5, 2026 |
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