Provider Demographics
NPI:1982220430
Name:BARRERA, NELDA YESENIA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:NELDA
Middle Name:YESENIA
Last Name:BARRERA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2149
Mailing Address - Country:US
Mailing Address - Phone:956-862-6798
Mailing Address - Fax:
Practice Address - Street 1:230 N 86TH ST
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-0012
Practice Address - Country:US
Practice Address - Phone:956-296-1711
Practice Address - Fax:956-296-1710
Is Sole Proprietor?:No
Enumeration Date:2020-06-21
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP146038363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH08NB51301OtherBCBS
TX4154098-01Medicaid