Healthcare Provider Details

I. General information

NPI: 1205347937
Provider Name (Legal Business Name): DARYL YAO FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8604 138TH AVE SE
NEWCASTLE WA
98059-3420
US

IV. Provider business mailing address

8604 138TH AVE SE
NEWCASTLE WA
98059-3420
US

V. Phone/Fax

Practice location:
  • Phone: 206-297-0897
  • Fax:
Mailing address:
  • Phone: 206-297-0897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number60667321
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60791410
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: