Healthcare Provider Details

I. General information

NPI: 1396611604
Provider Name (Legal Business Name): EVAN YEE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 COAL VALLEY RD
JEFFERSON HILLS PA
15025-3703
US

IV. Provider business mailing address

2101 WESLEY ST
MCKEESPORT PA
15132-7640
US

V. Phone/Fax

Practice location:
  • Phone: 412-469-5000
  • Fax:
Mailing address:
  • Phone: 412-759-7442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN710995
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: