person
Carol Yacula, NURSEPRACTITIONER
Adult Health Nurse Practitioner in Fenton, Missouri
NPI 1336691815

Carol Yacula is an Adult Health Nurse Practitioner based in Saint Louis, MO and is specialized in Adult Health. Carol Yacula practices in Fenton, MO and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Carol Yacula is 1336691815 and holds a License No. 10019605 (Missouri).

The current practice location address for Carol Yacula is 1011 Bowles Ave Ste G50, Fenton, MO and can be reached out via phone at 636-496-4640.

Location: 1011 Bowles Ave Ste G50, Fenton, MO, 63195-5534
person
Provider Profile Details
NPI Number
1336691815
Provider Name
Carol Yacula
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
1011 Bowles Ave Ste G50, Fenton, MO, 63195-5534
Phone Number
636-496-4640
Fax Number
Provider Enumeration Date
10/31/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1011 Bowles Ave Ste G50
City
State
Zip
63026-0562
Phone Number
636-496-4640
Fax Number
person
Provider Business Mailing Address Details
Address
1011 Bowles Ave Ste G50
City
State
Zip
63026-0562
Phone Number
636-496-4640
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
2016017862 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
10019605 (Oregon)
Definition
Definition to come...
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