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General NPI Number Information
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NPI Number | 1265109219
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Entity Type | Individual
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Provider Name | HEATHER RENEE YARYAN DNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 153 S SIERRA AVE UNIT 192
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City | SOLANA BEACH
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State | CA
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Zip | 92075-8009
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Country | US
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Telephone | 858-877-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 153 S SIERRA AVE UNIT 192
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City | SOLANA BEACH
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State | CA
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Zip | 92075-8009
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Country | US
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Telephone | 858-877-1818
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRNCNP83871
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN-75615
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95034466
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95034235
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License Number State | CA
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