Healthcare Provider Details

I. General information

NPI: 1629498530
Provider Name (Legal Business Name): MARIA CRISTINA PARRA-ZARA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2014
Last Update Date: 04/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 RHAPSODY LN
LAS CRUCES NM
88007-8047
US

IV. Provider business mailing address

1007 RHAPSODY LN
LAS CRUCES NM
88007-8047
US

V. Phone/Fax

Practice location:
  • Phone: 575-528-5067
  • Fax: 575-528-6032
Mailing address:
  • Phone: 575-528-5067
  • Fax: 575-528-6032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberM-3320
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: