Healthcare Provider Details

I. General information

NPI: 1518488204
Provider Name (Legal Business Name): VIOLETA DIANA YEAGER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VIOLETA DIANA FIGIEL RN, APRN

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 02/12/2021
Certification Date: 02/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 E BOGARD RD STE 103
WASILLA AK
99654-7184
US

IV. Provider business mailing address

950 E BOGARD RD STE 103
WASILLA AK
99654-7184
US

V. Phone/Fax

Practice location:
  • Phone: 907-352-2880
  • Fax: 907-352-2885
Mailing address:
  • Phone: 907-352-2880
  • Fax: 907-352-2885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN76177
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN002574
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN002574
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: