Individual provider · Type 1 NPI
Yanique Louis
Primary Care Nurse Practitioner · Malden, MA
NPI number
1770880643
Active
Practice location
100 Porter St
Malden, MA 02148-2833
Mailing address
8825 163rd St
Jamaica, NY 11432-4046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 636173 (NY) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 2267342 (MA) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1770880643
Yanique Louis's National Provider Identifier is 1770880643, issued on Feb 11, 2011. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Malden, MA. The record was last updated on Apr 29, 2019.