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Individual
MRS. ANDREA S. YESALIS
Active
Individual
MRS. ANDREA S. YESALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, PHD, CCD
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001236204
VA
363L00000X
Nurse Practitioner
Primary
0024169954
VA
363L00000X
Nurse Practitioner
RN285740L
PA
363L00000X
Nurse Practitioner
SP010069
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407009251
—
VA
Enumeration date
10/24/2008
Last updated
09/17/2020
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