Individual
YUI KITAYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
72 JAQUES AVE, WORCESTER, MA 01610-2476
(508) 860-1294
Mailing address
72 JAQUES AVE, WORCESTER, MA 01610-2476
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2326641
MA
Other
Enumeration date
01/24/2019
Last updated
05/04/2020
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