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NPI Code Detail

MEDICARE: SHIRLEY YARDLEY APRN

MEDICARE:   SHIRLEY  YARDLEY  APRN
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
1364SN0000XNeonatal Clinical Nurse SpecialistAPRN00835NV

General Provider Information

NPI Number : 1487639837
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY YARDLEY APRN
Provider Business Mailing Address
First Line : 3016 W CHARLESTON BLVD
Second Line : #180 SOUTHERN NEVADA NEONATAL SERVICES INC
City : LAS VEGAS
State : NV
Zip : 89102
Country : US
Telephone Number : 702-384-8099
Fax Number : 702-384-3930
Provider Business Practice Location Address
First Line : 3016 W CHARLESTON BLVD
Second Line : #180 SOUTHERN NEVADA NEONATAL SERVICES INC
City : LAS VEGAS
State : NV
Zip : 89102
Country : US
Telephone Number : 702-384-8099
Fax Number : 702-384-3930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 07/08/2007

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Directions to “ SHIRLEY YARDLEY APRN” Practice Location

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