Individual provider · Type 1 NPI
Yvette Marie San Juan
Community Health Registered Nurse · Glendale, NY
NPI number
1275936866
Active
Practice location
8060 Trotting Course Ln
Glendale, NY 11385-8046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 540075-1 (NY) |
Community Health Registered Nurse: Definition to come...
About NPI 1275936866
Yvette Marie San Juan's National Provider Identifier is 1275936866, issued on Sep 27, 2014. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Glendale, NY. The record was last updated on Sep 27, 2014.