Healthcare Provider Details

I. General information

NPI: 1255119459
Provider Name (Legal Business Name): YVETTE LUNA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2023
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 S CLIFF AVE
SIOUX FALLS SD
57105-1005
US

IV. Provider business mailing address

1325 S CLIFF AVE
SIOUX FALLS SD
57105-1005
US

V. Phone/Fax

Practice location:
  • Phone: 605-322-4425
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number4704407010
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberCP003357
License Number StateSD
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704407010
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberK183601
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: