Provider Demographics
NPI:1750197018
Name:PARRA, OFELIA CABADA (PCA)
Entity type:Individual
Prefix:
First Name:OFELIA
Middle Name:CABADA
Last Name:PARRA
Suffix:
Gender:F
Credentials:PCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4212 VIA OLIVERO AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-3700
Mailing Address - Country:US
Mailing Address - Phone:702-357-1095
Mailing Address - Fax:
Practice Address - Street 1:4001 STARFIRE LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-4359
Practice Address - Country:US
Practice Address - Phone:712-660-3004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide