Individual
IVAN PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-5283
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-5283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704263685
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704263685
MI
Other
Enumeration date
11/08/2013
Last updated
03/05/2026
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