Individual provider · Type 1 NPI

Mina Yasuoka, CRNP

Nurse Practitioner · Philadelphia, PA

NPI number 1588930754 Active

Practice location

111 S 11th St
Philadelphia, PA 19107-4824

Mailing address

2500 Maryland Rd Ste 400
Willow Grove, PA 19090-1225

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XSP010808 (PA)
Nurse Practitioner Primary 363L00000XSP010808 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1588930754

Mina Yasuoka, CRNP's National Provider Identifier is 1588930754, issued on Mar 31, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on May 5, 2020.