MEDICARE: MABEL LEMNYUY YUYUN NP

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	363LA2100X	Acute Care Nurse Practitioner	RN199304	GA
2	363LG0600X	Gerontology Nurse Practitioner	NP199304	GA
3	363LC0200X	Critical Care Medicine Nurse Practitioner	RN199304	GA

General Provider Information

NPI Number	:	1457703951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MABEL LEMNYUY YUYUN NP

Provider Business Mailing Address
First Line	:	936 TELFAIR CLOSE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30350-4901
Country	:	US
Telephone Number	:	404-587-1347
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2212
Country	:	US
Telephone Number	:	404-686-4411
Fax Number	:

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

Provider Enumeration Date	:	07/07/2016
Last Update Date	:	03/05/2026

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