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NPI Code Detail

MEDICARE: MRS. CLARISA YOS FNP

MEDICARE: MRS. CLARISA YOS FNP
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
1363L00000XNurse PractitionerRN500928CA
2363L00000XNurse Practitioner10358CA

General Provider Information

NPI Number : 1265569743
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CLARISA YOS FNP
Provider Business Mailing Address
First Line : 4310 ORANGE ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-3829
Country : US
Telephone Number : 951-781-6335
Fax Number : 951-208-7244
Provider Business Practice Location Address
First Line : 4310 ORANGE ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-3829
Country : US
Telephone Number : 951-781-6335
Fax Number : 951-208-7244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 11/29/2021

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Directions to “ MRS. CLARISA YOS FNP” Practice Location

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