Individual
PAMELA D YUKNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1221
(203) 709-6000
(203) 709-3679
Mailing address
56 FRANKLIN ST, 3RD FLOOR, WATERBURY, CT 06706-1221
(203) 709-8873
(203) 709-8689
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002953
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004242939
—
CT
01
—
01407877
COVENTRY/FIRST HEALTH
CT
01
—
0957742
USA
CT
01
—
20953
CONNECTICARE
CT
01
—
239322
WELLCARE
CT
01
—
400002953CT01
ANTHEM BCBS CT
CT
01
—
7680674
AETNA
CT
01
—
P00456217
RR MEDICARE
CT
01
—
P3249497
OXFORD
CT
Enumeration date
07/17/2006
Last updated
07/15/2014
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