Provider Demographics
NPI:1053030833
Name:PARADA, CAROLINA ABIGAIL (RN)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:ABIGAIL
Last Name:PARADA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 CLEVELAND AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-2565
Mailing Address - Country:US
Mailing Address - Phone:516-262-9313
Mailing Address - Fax:
Practice Address - Street 1:17 QUINTREE LN
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-1811
Practice Address - Country:US
Practice Address - Phone:516-810-4415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY850297163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health