=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093697815
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FATHER YVES HEALTH, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/23/2025
-----------------------------------------------------
Last Update Date | 07/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 128 LONGSPUR LANE
-----------------------------------------------------
City | WAKE FOREST
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27587
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-205-8297
-----------------------------------------------------
Fax | 571-365-0002
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2920 FORESTVILLE RD STE 100
-----------------------------------------------------
City | RALEIGH
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27616-8774
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-205-8207
-----------------------------------------------------
Fax | 571-365-0002
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CEO
-----------------------------------------------------
Name | VANIA FRANCOIS
-----------------------------------------------------
Credential | APRN, FNP-C
-----------------------------------------------------
Telephone | 863-484-3451
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------