Individual
YANA YAZMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2109 RED LION RD, PHILADELPHIA, PA 19115-1711
(732) 486-7373
(732) 782-7200
Mailing address
343 GREEN MEADOW LN, HORSHAM, PA 19044-1988
(215) 687-5902
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
RN545968
PA
363LA2100X
Acute Care Nurse Practitioner
SP022101
PA
Other
Enumeration date
06/10/2020
Last updated
09/23/2020
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