MEDICARE: KIMBERLY ANN YOES APN

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	363LF0000X	Family Nurse Practitioner	AP115170	TX
2	363LA2200X	Adult Health Nurse Practitioner	684913	TX

General Provider Information

NPI Number	:	1902945330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANN YOES APN

Provider Business Mailing Address
First Line	:	882 SIERRA DR
Second Line	:
City	:	PORT NECHES
State	:	TX
Zip	:	77651-5607
Country	:	US
Telephone Number	:	409-722-1234
Fax Number	:	877-831-8991

Provider Business Practice Location Address
First Line	:	882 SIERRA DR
Second Line	:
City	:	PORT NECHES
State	:	TX
Zip	:	77651-5607
Country	:	US
Telephone Number	:	409-722-1234
Fax Number	:	877-831-8991

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	07/21/2022

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Directions to “ KIMBERLY ANN YOES APN” Practice Location

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