Basic Information
Provider Information
NPI: 1942899869
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARRA
FirstName: JULIA
MiddleName: CATALINA
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 HAWKINS DR
Address2:  
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193561616
FaxNumber:  
Practice Location
Address1: 200 HAWKINS DR
Address2:  
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193561616
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/14/2021
LastUpdateDate: 04/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LC0200XH160718IAN Allopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
363L00000XH160718IAN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LG0600XH160718IAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
363LA2100XH160718IAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LC0200XH160718IAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine

No ID Information.


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