Healthcare Provider Details

I. General information

NPI: 1508887902
Provider Name (Legal Business Name): MICHAEL STEPHEN YEE FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 08/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 L ST STE 501
SACRAMENTO CA
95816-5616
US

IV. Provider business mailing address

2800 L ST STE 501
SACRAMENTO CA
95816-5616
US

V. Phone/Fax

Practice location:
  • Phone: 916-454-6850
  • Fax:
Mailing address:
  • Phone: 916-454-6850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN321076/NP3150
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: