Individual
CAROL YACULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
18947 JOHN J WILLIAMS HWY UNIT 101, REHOBOTH BEACH, DE 19971-4480
(302) 645-3770
(302) 645-5718
Mailing address
1515 SAVANNAH RD, LEWES, DE 19958-1675
(302) 645-3499
(302) 644-4830
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LP-0010758
DE
363LA2200X
Adult Health Nurse Practitioner
2016017862
MO
363LG0600X
Gerontology Nurse Practitioner
10019605
OR
Other
Enumeration date
10/31/2016
Last updated
01/19/2026
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