institution
Yakima Avenue Medical Clinic, Pllc
Psychiatric/Mental Health Nurse Practitioner in Yakima, Washington
NPI 1205315397

Yakima Avenue Medical Clinic, Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Yakima, WA and is specialized in Psychiatric/Mental Health. Yakima Avenue Medical Clinic, Pllc practices in Yakima, WA. The NPI Number for Yakima Avenue Medical Clinic, Pllc is 1205315397 and holds a License No. (Washington).

The current practice location address for Yakima Avenue Medical Clinic, Pllc is 5 S. 14Th Avenue, Yakima, WA and can be reached out via phone at 509-426-1759 and via fax at 509-902-8210.

Location: 5 S. 14Th Avenue, Yakima, WA, 98902-3101
institution
Provider Profile Details
NPI Number
1205315397
Provider Name
Yakima Avenue Medical Clinic, Pllc
Credential
Provider Entity Type
Organization
Address
5 S. 14Th Avenue, Yakima, WA, 98902-3101
Phone Number
509-426-1759
Fax Number
509-902-8210
Provider Enumeration Date
08/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
603144474 01 WA STATE UBI
institution
Provider Business Practice Location Address Details
Address
5 S. 14Th Avenue
City
State
Zip
98902-3101
Phone Number
509-426-1759
Fax Number
509-902-8210
person
Provider Business Mailing Address Details
Address
5 S. 14Th Avenue
City
State
Zip
98902-3101
Phone Number
509-426-1759
Fax Number
509-902-8210
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
(Washington)
Definition
Definition to come...
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