Individual
JUNE YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
559 VINCENT ST, ATTN: 21 MDOS/SGOF - FAM HLTH, PETERSON AFB, CO 80914-1540
(719) 526-2273
(877) 813-1756
Mailing address
559 VINCENT ST, ATTN: 21 MDOS/SGOF - FAM HLTH, PETERSON AFB, CO 80914-1540
(719) 526-2273
(877) 813-1756
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
53-76521
KS
390200000X
Student in an Organized Health Care Education/Training Program
13-95846-072
KS
Other
Enumeration date
11/15/2012
Last updated
08/03/2020
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