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NPI Code Detail

MEDICARE: MARILYN YELDER NP

MEDICARE: MARILYN YELDER 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
1363LP0200XPediatric Nurse PractitionerRN154374AZ
2363LP0200XPediatric Nurse PractitionerAP3258AZ

Other Identifiers

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

General Provider Information

NPI Number : 1689813032
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN YELDER NP
Provider Business Mailing Address
First Line : 7500 N DREAMY DRAW DR STE 145
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-4668
Country : US
Telephone Number : 480-882-4545
Fax Number : 480-692-6874
Provider Business Practice Location Address
First Line : 4131 N 24TH ST STE B102
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-6231
Country : US
Telephone Number : 480-882-4545
Fax Number : 602-903-7091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2009
Last Update Date : 07/24/2023

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