Individual
MISS DORCAS ANN YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CFNP
Contact information
Practice address
1010 E ROOSEVELT AVE, GRANTS, NM 87020-2118
(505) 287-2948
(505) 287-5372
Mailing address
1010 E ROOSEVELT AVE, GRANTS, NM 87020-2118
(505) 287-2948
(505) 287-5372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R15456
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44636
—
NM
01
—
85-0286828
FEDERAL TAX ID
NM
05
—
G0667
—
NM
Enumeration date
02/08/2006
Last updated
12/07/2010
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