Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | AP6829 | AZ |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN-083151 | AZ |
NPI | 1003897166 |
---|---|
Provider Name | Ms. Joanne Timpson Yarrish |
First Address | Colorado City, AZ 86021-1549 |
Second Address | Colorado City, AZ 86022-1549 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 29/04/2016 |