Provider Demographics
NPI:1649871476
Name:CABRERA, MARISSA FELICITAS (NP -C, BSN, RN)
Entity type:Individual
Prefix:MS
First Name:MARISSA
Middle Name:FELICITAS
Last Name:CABRERA
Suffix:
Gender:F
Credentials:NP -C, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 N CUATES DR
Mailing Address - Street 2:
Mailing Address - City:LOS FRESNOS
Mailing Address - State:TX
Mailing Address - Zip Code:78566-4314
Mailing Address - Country:US
Mailing Address - Phone:956-404-3169
Mailing Address - Fax:
Practice Address - Street 1:613 VICTORIA LN
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-0235
Practice Address - Country:US
Practice Address - Phone:956-421-1026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145422363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily