Healthcare Provider Details

I. General information

NPI: 1538024781
Provider Name (Legal Business Name): NATALIA ELIZABETH YUEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2575 N DRAKE RD
KALAMAZOO MI
49006-1358
US

IV. Provider business mailing address

8219 BROOKWOOD DR
PORTAGE MI
49024-5205
US

V. Phone/Fax

Practice location:
  • Phone: 269-342-0206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: