MEDICARE: YADIRA MARTINEZ-PARRA APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11031435	FL
2	363LF0000X	Family Nurse Practitioner	018051	NV

General Provider Information

NPI Number	:	1679354955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YADIRA MARTINEZ-PARRA APRN

Provider Business Mailing Address
First Line	:	15455 COLLIER BLVD UNIT 201
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-7874
Country	:	US
Telephone Number	:	239-514-2005
Fax Number	:	239-593-0067

Provider Business Practice Location Address
First Line	:	15455 COLLIER BLVD UNIT 201
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-7874
Country	:	US
Telephone Number	:	239-514-2005
Fax Number	:	239-593-0067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2023
Last Update Date	:	11/10/2025

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