Individual
HE YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
630 KINGS CT, UKIAH, CA 95482-5003
(707) 382-2818
Mailing address
1575 GLENWOOD DR, UKIAH, CA 95482-5207
(707) 828-1895
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
95010796
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95010796
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
—
Enumeration date
02/28/2013
Last updated
11/25/2022
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