Individual
RICHARD YAKIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
1201 BELLEVUE AVE, SAINT LOUIS, MO 63117-1701
(314) 647-4488
Mailing address
5000 CEDAR PLAZA PKWY STE 350, SAINT LOUIS, MO 63128-3859
(314) 843-4333
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
128978
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128978
LICENSE
MO
Enumeration date
06/26/2017
Last updated
06/26/2017
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