Individual
MR. YONIS A MUDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
2288 FULTON ST STE 309, BERKELEY, CA 94704-1490
(650) 577-2097
(650) 577-2098
Mailing address
2288 FULTON ST STE 309, BERKELEY, CA 94704-1490
(510) 517-3156
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
21343
CA
363LF0000X
Family Nurse Practitioner
21343
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21343
CA
363LP2300X
Primary Care Nurse Practitioner
21343
CA
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
3467
CA
Other
Enumeration date
06/24/2012
Last updated
04/12/2024
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