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General NPI Number Information
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NPI Number | 1093146912
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Entity Type | Individual
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Provider Name | TAWNI V YARDLEY AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/02/2013
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 786 W PIONEER BLVD STE A
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City | MESQUITE
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State | NV
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Zip | 89027-8862
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Country | US
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Telephone | 702-345-5000
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Fax | 702-345-2000
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Provider Business Mailing Address
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Address Line | 6355 S BUFFALO DR FL 3
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City | LAS VEGAS
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State | NV
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Zip | 89113-2133
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Country | US
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Telephone | 702-216-3346
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 215258-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 825582
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 215258-4405
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 825582
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License Number State | NV
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