Individual
MS. KRISTIE A. YAKURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
8044 MONTGOMERY RD STE 700, CINCINNATI, OH 45236-2926
(513) 277-9614
(513) 436-1822
Mailing address
8044 MONTGOMERY RD STE 700, CINCINNATI, OH 45236-2926
(513) 277-9614
(513) 436-1822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1137920
KY
363LF0000X
Family Nurse Practitioner
3008417
KY
363LF0000X
Family Nurse Practitioner
COA.13862-NP
OH
363LF0000X
Family Nurse Practitioner
RN.263720
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN263720
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4141976
AETNA
OH
01
—
897718
ANTHEM
OH
01
—
H270571
MEDICARE
OH
01
—
P10001066725
BUCKEYE
OH
Enumeration date
06/26/2012
Last updated
08/11/2023
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