MEDICARE: DIALA YEHIA FNP-BC

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	C-APN.0102618-C-NP	CO

General Provider Information

NPI Number	:	1275342248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIALA YEHIA FNP-BC

Provider Business Mailing Address
First Line	:	1560 BOULDER ST UNIT 420
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4014
Country	:	US
Telephone Number	:	561-809-0881
Fax Number	:

Provider Business Practice Location Address
First Line	:	1560 BOULDER ST UNIT 420
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4014
Country	:	US
Telephone Number	:	561-809-0881
Fax Number	:

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

Provider Enumeration Date	:	01/04/2025
Last Update Date	:	01/04/2025

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