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NPI Code Detail

MEDICARE: YANA YAZMIR CRNP

MEDICARE: YANA YAZMIR CRNP
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
1363LA2100XAcute Care Nurse PractitionerSP022101PA
2163WG0600XGerontology Registered NurseRN545968PA

General Provider Information

NPI Number : 1841815370
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANA YAZMIR CRNP
Provider Business Mailing Address
First Line : 343 GREEN MEADOW LN
Second Line :
City : HORSHAM
State : PA
Zip : 19044-1988
Country : US
Telephone Number : 215-687-5902
Fax Number :
Provider Business Practice Location Address
First Line : 2109 RED LION RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-1711
Country : US
Telephone Number : 732-486-7373
Fax Number : 732-782-7200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2020
Last Update Date : 09/23/2020

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