MEDICARE: CHRISTY MICHELLE YORGEY APRN

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	163W00000X	Registered Nurse	9308600	FL
2	163W00000X	Registered Nurse	164561	AZ
3	363LF0000X	Family Nurse Practitioner	9308600	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1548512171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY MICHELLE YORGEY APRN

Provider Business Mailing Address
First Line	:	60 MEMORIAL MEDICAL PKWY
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-5980
Country	:	US
Telephone Number	:	386-586-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 HOSPITAL DR STE 270
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-2454
Country	:	US
Telephone Number	:	386-437-5959
Fax Number	:

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

Provider Enumeration Date	:	10/05/2012
Last Update Date	:	05/14/2023

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