MEDICARE: MACABE LEWIS YORSTON NREMT

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	146N00000X	Basic Emergency Medical Technician	AZ00018419	AZ

General Provider Information

NPI Number	:	1679454367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MACABE LEWIS YORSTON NREMT

Provider Business Mailing Address
First Line	:	1221 N 85TH PL APT 109
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-4101
Country	:	US
Telephone Number	:	602-376-5960
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 N 85TH PL APT 109
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-4101
Country	:	US
Telephone Number	:	602-376-5960
Fax Number	:

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

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	09/09/2025

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Directions to “ MACABE LEWIS YORSTON NREMT” Practice Location

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