Individual
ALISON YEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2000 SPROUL ROAD, SUITE 206, BROOMALL, PA 19008
(610) 284-0200
(610) 353-7932
Mailing address
2000 SPROUL ROAD, SUITE 206, BROOMALL, PA 19008
(610) 284-0200
(610) 353-7932
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP008399
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004996
PRESCRIPTION AUTH
PA
01
—
20050806
CRNP CERTIFICATE
PA
01
—
RN554575
RN LICENSE
PA
01
—
SP008399
CRNP LICENSE
PA
Enumeration date
05/17/2007
Last updated
07/08/2007
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