Healthcare Provider Details

I. General information

NPI: 1922165034
Provider Name (Legal Business Name): MARTHA YEE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 10/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 KING ARTHUR CT
EL PASO TX
79903-1500
US

IV. Provider business mailing address

PO BOX 971154
EL PASO TX
79997-1154
US

V. Phone/Fax

Practice location:
  • Phone: 915-449-0912
  • Fax: 915-564-4188
Mailing address:
  • Phone: 915-449-0912
  • Fax: 915-564-4188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number535164
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License Number535164
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number535164
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: