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NPI Code Detail

MEDICARE: PETER YU

MEDICARE: PETER YU
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 Practitioner22471TN
2363LF0000XFamily Nurse PractitionerC-APN.0004363-C-NPCO

General Provider Information

NPI Number : 1851827323
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER YU
Provider Business Mailing Address
First Line : PO BOX 746081
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6081
Country : US
Telephone Number : 312-733-9730
Fax Number : 773-866-8014
Provider Business Practice Location Address
First Line : 5996 E 64TH AVE
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-3317
Country : US
Telephone Number : 720-463-6758
Fax Number : 720-640-3314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2017
Last Update Date : 09/14/2022

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Directions to “ PETER YU ” Practice Location

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