Individual
DR. NATALIYA YATSENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
609 ATTAIN ST, SUITE 181, FUQUAY VARINA, NC 27526-1979
(919) 557-5433
(919) 557-6279
Mailing address
5617 RAMSEY ST, FAYETTEVILLE, NC 28311-1423
(910) 483-7337
(910) 483-0648
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2009-01709
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19M1P
BLUE CROSS BLUE SHIELD OF NORTH CAROLINA
NC
01
—
4866147
AETNA-PRONET
NC
01
—
6217977
UNITED HEALTHCARE
NC
Enumeration date
05/23/2008
Last updated
12/21/2016
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