Individual
HEANA YI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
132 S 10TH ST, PHILADELPHIA, PA 19107
(215) 955-6000
Mailing address
105 RAMPART PL, MAPLE GLEN, PA 19002-2861
(267) 346-7779
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP020351
PA
364SF0001X
Family Health Clinical Nurse Specialist
SP020351
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841769411
NPI
PA
Enumeration date
11/13/2018
Last updated
10/17/2024
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