Provider Demographics
NPI:1437259447
Name:PAPARELLI, VICTORIA A (CCNS-AC)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:A
Last Name:PAPARELLI
Suffix:
Gender:F
Credentials:CCNS-AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8122 DATAPOINT DR
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3272
Mailing Address - Country:US
Mailing Address - Phone:210-615-0600
Mailing Address - Fax:210-615-1899
Practice Address - Street 1:8122 DATAPOINT DR
Practice Address - Street 2:SUITE 700
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3272
Practice Address - Country:US
Practice Address - Phone:210-615-0600
Practice Address - Fax:210-615-1899
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX449926364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166035901Medicaid
TX166035901Medicaid
P41637Medicare UPIN
8C0739Medicare ID - Type Unspecified