Provider Demographics
NPI:1659907160
Name:PARRISH, ANGELITA ANCHETA (NP)
Entity Type:Individual
Prefix:MRS
First Name:ANGELITA
Middle Name:ANCHETA
Last Name:PARRISH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ANGELITA
Other - Middle Name:ANCHETA
Other - Last Name:RALLOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:180 TEE TAW CIR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-6998
Mailing Address - Country:US
Mailing Address - Phone:979-571-6914
Mailing Address - Fax:
Practice Address - Street 1:2340 E TRINITY MILLS RD STE 250
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-1946
Practice Address - Country:US
Practice Address - Phone:940-442-5209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-16
Last Update Date:2023-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141776363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner