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NPI Code Detail

MEDICARE: MS. KRISTIE A. YAKURA MSN, PMHNP-BC

MEDICARE: MS. KRISTIE A. YAKURA MSN, PMHNP-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
1363LF0000XFamily Nurse PractitionerCOA.13862-NPOH
2363LF0000XFamily Nurse Practitioner3008417KY
3363LF0000XFamily Nurse PractitionerRN.263720OH
4363LP0808XPsychiatric/Mental Health Nurse PractitionerRN263720OH
5163W00000XRegistered Nurse1137920KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2H270571OTHEROHMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P10001066725OTHEROHBUCKEYE
3897718OTHEROHANTHEM
44141976OTHEROHAETNA

General Provider Information

NPI Number : 1336403161
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTIE A. YAKURA MSN, PMHNP-BC
Provider Business Mailing Address
First Line : 8044 MONTGOMERY RD STE 700
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2926
Country : US
Telephone Number : 513-277-9614
Fax Number : 513-436-1822
Provider Business Practice Location Address
First Line : 8044 MONTGOMERY RD STE 700
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2926
Country : US
Telephone Number : 513-277-9614
Fax Number : 513-436-1822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2012
Last Update Date : 08/11/2023

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