MEDICARE: SANDRA FOLSOM YANEY APRN-BC

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	363LF0000X	Family Nurse Practitioner	APN.0000549-NP	CO
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN.0000549-NP	CO

General Provider Information

NPI Number	:	1447247358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA FOLSOM YANEY APRN-BC

Provider Business Mailing Address
First Line	:	2906 BEACON STREET
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907
Country	:	US
Telephone Number	:	719-651-3198
Fax Number	:	719-473-5798

Provider Business Practice Location Address
First Line	:	2906 BEACON STREET
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907
Country	:	US
Telephone Number	:	719-651-3198
Fax Number	:

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

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	11/23/2016

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