Provider Demographics
NPI:1942642301
Name:PEREZ PARRA, YANET D (ARNP)
Entity type:Individual
Prefix:MS
First Name:YANET
Middle Name:D
Last Name:PEREZ PARRA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6821 W HILLSBOROUGH AVE STE 10-11
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-5003
Mailing Address - Country:US
Mailing Address - Phone:813-609-3983
Mailing Address - Fax:
Practice Address - Street 1:6821 W HILLSBOROUGH AVE STE 10-11
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634
Practice Address - Country:US
Practice Address - Phone:813-609-3983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP-9314862363LF0000X
FLARNP9314862163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP-9314862OtherPROFESSIONAL LICENSE