Healthcare Provider Details

I. General information

NPI: 1649998972
Provider Name (Legal Business Name): ISABELLE AURELIE YAPOBI ATTIE APRN, AGCNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3480 COLLEGE ST
BEAUMONT TX
77701-4612
US

IV. Provider business mailing address

3406 COLLEGE ST STE 200
BEAUMONT TX
77701-4612
US

V. Phone/Fax

Practice location:
  • Phone: 409-813-1677
  • Fax: 409-813-1699
Mailing address:
  • Phone: 409-813-1677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number1006613
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number1006613
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1006613
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License Number1006613
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: