Healthcare Provider Details

I. General information

NPI: 1356380356
Provider Name (Legal Business Name): YVETTE ESPARZA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 05/18/2024
Certification Date: 05/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 CLEVELAND AVE
MOUNT VERNON WA
98273-4210
US

IV. Provider business mailing address

825 CLEVELAND AVE
MOUNT VERNON WA
98273-4210
US

V. Phone/Fax

Practice location:
  • Phone: 360-450-5000
  • Fax: 360-450-5051
Mailing address:
  • Phone: 360-450-5000
  • Fax: 360-450-5051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberAP30006622
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP30006622
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30006622
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: