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Ms. Yvonne Carlo Medock, NP
Nurse Practitioner in San Bernardino, California
NPI 1700948924

Yvonne Carlo Medock is a Nurse Practitioner based in Long Beach, CA. Yvonne Carlo Medock practices in San Bernardino, CA and has the professional credentials of NP. The NPI Number for Yvonne Carlo Medock is 1700948924 and holds a License No. AP30006841 (California).

The current practice location address for Yvonne Carlo Medock is 190 E. Highland Ave, San Bernardino, CA and can be reached out via phone at 909-882-4788 and via fax at 909-882-8819. You can also correspond with Yvonne Carlo Medock through the mailing address at 200 OCEANGATE, LONG BEACH, CA - 90802-4317 (mailing address contact number: 562-499-6191).

Location: 190 E. Highland Ave, San Bernardino, CA, 90802-4317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700948924
Provider Name
Yvonne Carlo Medock
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
190 E. Highland Ave, San Bernardino, CA, 90802-4317
Phone Number
909-882-4788
Fax Number
909-882-8819
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01805640-DU5182 01 CA RAILROAD MEDICARE
07252016 01 CA MEDICAL COLTON EFF 7/25/16
P01288547/DU4034 01 CA RAILROAD MEDICARE-SAN BERNARDINO
EFF:2/21/13-FONTANA 05 CA
EFF.4/23/13-S.RIVERS 05 CA
EFF:2/21/13 SAN BERN 05 CA
institution
Provider Business Practice Location Address Details
Address
190 E. Highland Ave
City
San Bernardino
State
California
Zip
92404-3658
Phone Number
909-882-4788
Fax Number
909-882-8819
person
Provider Business Mailing Address Details
Address
190 E. Highland Ave
City
San Bernardino
State
California
Zip
92404-3658
Phone Number
909-882-4788
Fax Number
909-882-8819
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP30006841 (Washington)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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