Healthcare Provider Details
I. General information
NPI: 1487826467
Provider Name (Legal Business Name): GENEVIEVE YANCEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/30/2008
Last Update Date: 07/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE 4200 E. 9TH AVE.
DENVER CO
80262-0001
US
IV. Provider business mailing address
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE 4200 E. 9TH AVE.
DENVER CO
80262-0001
US
V. Phone/Fax
- Phone: 303-315-7424
- Fax:
- Phone: 303-315-7424
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 283Q00000X |
| Taxonomy | Psychiatric Hospital |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 49485 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: