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NPI Code Detail

MEDICARE: MISS EBONY YVETTE MCKNIGHT FNP-BC

MEDICARE:  MISS EBONY YVETTE MCKNIGHT  FNP-BC
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 Nurse606430NY
2363LF0000XFamily Nurse Practitioner336952NY
3363LF0000XFamily Nurse Practitioner21723CA

General Provider Information

NPI Number : 1891063301
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS EBONY YVETTE MCKNIGHT FNP-BC
Provider Business Mailing Address
First Line : 415 N CRESCENT DR STE 140
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-4731
Country : US
Telephone Number : 310-246-0702
Fax Number : 310-246-0672
Provider Business Practice Location Address
First Line : 415 N CRESCENT DR STE 140
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-4731
Country : US
Telephone Number : 310-246-0702
Fax Number : 310-246-0672
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2011
Last Update Date : 11/24/2013

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Directions to “ MISS EBONY YVETTE MCKNIGHT FNP-BC” Practice Location

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