Individual provider · Type 1 NPI

Yvette Herzfeld Theodore, NP

Gerontology Nurse Practitioner · Duarte, CA

NPI number 1194293142 Active

Practice location

1500 Duarte Rd
Duarte, CA 91010-3012

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XNP95010267 (CA)
Gerontology Nurse Practitioner Primary 363LG0600X95010267 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1194293142

Yvette Herzfeld Theodore, NP's National Provider Identifier is 1194293142, issued on Nov 7, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Duarte, CA. The record was last updated on Nov 16, 2020.