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NPI Code Detail

MEDICARE: CARLA YVONNE YORBA FNP

MEDICARE: CARLA YVONNE YORBA 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
1163W00000XRegistered NurseRN403128CA
2363L00000XNurse PractitionerNP 11433CA
3363LF0000XFamily Nurse Practitioner11433CA
4363LF0000XFamily Nurse PractitionerAP61529076WA

General Provider Information

NPI Number : 1487639126
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA YVONNE YORBA FNP
Provider Business Mailing Address
First Line : PO BOX 2605
Second Line :
City : YAKIMA
State : WA
Zip : 98907-2605
Country : US
Telephone Number : 509-454-4143
Fax Number :
Provider Business Practice Location Address
First Line : 12 S 8TH ST
Second Line :
City : YAKIMA
State : WA
Zip : 98901-3020
Country : US
Telephone Number : 509-454-4143
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 03/06/2024

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