Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 103679 | NC |
NPI | 1013297241 |
---|---|
Provider Name | Diane Yorke |
First Address | Chapel Hill, NC 27516-3203 |
Second Address | Chapel Hill, NC 27514-4220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2011 |
Last Update Date | 19/08/2011 |