Healthcare Provider Details

I. General information

NPI: 1447177324
Provider Name (Legal Business Name): SHEENA YOAKUM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1462 S PACIFIC AVE
YUMA AZ
85365-1733
US

IV. Provider business mailing address

1462 S PACIFIC AVE
YUMA AZ
85365-1733
US

V. Phone/Fax

Practice location:
  • Phone: 928-343-4099
  • Fax:
Mailing address:
  • Phone: 928-343-4099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHADE13469
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: