MEDICARE: MRS. BERNADETTE N YALUNG-ALMODIEL P.A.

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	363A00000X	Physician Assistant	PA1086	NV
2	363AM0700X	Medical Physician Assistant	PA1086	NV

Other Identifiers

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

General Provider Information

NPI Number	:	1942479233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BERNADETTE N YALUNG-ALMODIEL P.A.

Provider Business Mailing Address
First Line	:	3325 RESEARCH WAY
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89706-7913
Country	:	US
Telephone Number	:	775-888-6610
Fax Number	:	775-888-4904

Provider Business Practice Location Address
First Line	:	98 E LAKE MEAD PKWY
Second Line	:	SUITE 103
City	:	HENDERSON
State	:	NV
Zip	:	89015-5540
Country	:	US
Telephone Number	:	702-868-0327
Fax Number	:	702-868-0290

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

Provider Enumeration Date	:	02/21/2008
Last Update Date	:	12/27/2015

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