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NPI Code Detail

MEDICARE: ANNIE C YIP

MEDICARE:   ANNIE C YIP
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
1225200000XPhysical Therapy AssistantA-1016NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275051930
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIE C YIP
Provider Business Mailing Address
First Line : 10092 TROTTER PEAK ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-5508
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4501 N BLAGG RD
Second Line :
City : PAHRUMP
State : NV
Zip : 89060-1946
Country : US
Telephone Number : 775-751-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2017
Last Update Date : 06/16/2018

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Directions to “ ANNIE C YIP ” Practice Location

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