Healthcare Provider Details

I. General information

NPI: 1063495109
Provider Name (Legal Business Name): ELIZABETH YOST FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 E ALMOND AVE
MADERA CA
93637-5606
US

IV. Provider business mailing address

1210 E ALMOND AVE
MADERA CA
93637-5606
US

V. Phone/Fax

Practice location:
  • Phone: 559-507-8000
  • Fax: 559-479-4167
Mailing address:
  • Phone: 559-507-8000
  • Fax: 559-479-4167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15787
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: