Individual
MISS BONNIE ANN YOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
450 SALMON RIVER RD, PLATTSBURGH, NY 12901-7631
(518) 563-7129
(518) 561-2849
Mailing address
450 SALMON RIVER RD, PLATTSBURGH, NY 12901-7631
(518) 563-7129
(518) 561-2849
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F-301509-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141603303
TRICARE
—
01
—
500021522
GBA RAILROAD PROVIDER
—
Enumeration date
05/19/2007
Last updated
07/08/2007
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