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Individual

MICHELLE ANN PARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
7900 W JEFFERSON BLVD, STE 304, FORT WAYNE, IN 46804-4128
(260) 969-6200
(260) 969-6201
Mailing address
PO BOX 8857, FORT WAYNE, IN 46898-8857
(260) 969-6200
(260) 969-6201

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003188A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200974530
IN
Enumeration date
02/09/2010
Last updated
06/11/2014
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