Provider Demographics
NPI:1306143656
Name:PARRA, EVA MARIA (NNP-BC)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:MARIA
Last Name:PARRA
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:EVA
Other - Middle Name:MARIA
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:3126 RODD FIELD RD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-3901
Mailing Address - Country:US
Mailing Address - Phone:361-452-6898
Mailing Address - Fax:361-452-6870
Practice Address - Street 1:3126 RODD FIELD RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-3901
Practice Address - Country:US
Practice Address - Phone:361-452-6898
Practice Address - Fax:361-452-6870
Is Sole Proprietor?:No
Enumeration Date:2011-02-23
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN155158363LN0000X
TXAP131886363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003106456AMedicaid
GA01403816OtherAMERIGROUP
GA003106456AMedicaid