MEDICARE: HARRIET L YURKOVICH A.R.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	2010020654	MO

General Provider Information

NPI Number	:	1215989181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRIET L YURKOVICH A.R.N.P.

Provider Business Mailing Address
First Line	:	19000 E EASTLAND CENTER CT
Second Line	:	#200
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055-7022
Country	:	US
Telephone Number	:	816-478-9299
Fax Number	:	816-478-9299

Provider Business Practice Location Address
First Line	:	1900 E. EASTLAND CENTER COURT
Second Line	:	# 200
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055
Country	:	US
Telephone Number	:	816-478-9299
Fax Number	:	816-478-9299

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	12/18/2017

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