Individual
MARILYN YELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4131 N 24TH ST STE B102, PHOENIX, AZ 85016-6231
(480) 882-4545
(602) 903-7091
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 692-6874
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP3258
AZ
363LP0200X
Pediatric Nurse Practitioner
RN154374
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623525
—
AZ
Enumeration date
02/09/2009
Last updated
07/24/2023
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