Individual
MICHELLE YUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(845) 625-4233
Mailing address
13705 FRANKLIN AVE APT 5O, FLUSHING, NY 11355-3804
(845) 625-4233
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F433050-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2024
Last updated
07/29/2024
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